Individual provider · Type 1 NPI
Jacklyn Marie Stetler, CNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1619540127
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN2286334 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2286334 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1619540127
Jacklyn Marie Stetler, CNP's National Provider Identifier is 1619540127, issued on Jul 22, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jul 25, 2025.