Individual provider · Type 1 NPI
Jennifer Modliszewski
Adult Health Nurse Practitioner · Cambridge, MA
NPI number
1659617207
Active
Practice location
1611 Cambridge St
Cambridge, MA 02138-4302
Other practice locations
- 415 Columbia Rd, Dorchester, MA 02125-2424 · (617) 287-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN2274129 (MA) |
| Home Health Registered Nurse | 163WH0200X | 2274129 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1659617207
Jennifer Modliszewski's National Provider Identifier is 1659617207, issued on Dec 28, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Cambridge, MA. The record was last updated on Sep 30, 2021.