Individual provider · Type 1 NPI
Jaclyn Mello
Critical Care Neonatal Nurse Practitioner · Boston, MA
NPI number
1730788779
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Other practice locations
- 119 Belmont St, Worcester, MA 01605-2903 · (508) 334-6206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN2264880 (MA) |
| Neonatal Nurse Practitioner | 363LN0000X | RN2264880 (MA) |
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | RN2264880 (MA) |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | RN2264880 (MA) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1730788779
Jaclyn Mello's National Provider Identifier is 1730788779, issued on Oct 21, 2020. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Boston, MA. The record was last updated on Dec 15, 2021.