Individual provider · Type 1 NPI
Jessica S. Lally
Pediatric Nurse Practitioner · Brookline, MA
NPI number
1700793643
Active
Practice location
50 Park St Apt 24
Brookline, MA 02446-6200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2354902 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1700793643
Jessica S. Lally's National Provider Identifier is 1700793643, issued on Aug 26, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brookline, MA. The record was last updated on Aug 26, 2026.