Individual provider · Type 1 NPI
Jaclyn L. Fennell, RN, AGNP-C
Adult Health Nurse Practitioner · Manchester, NH
NPI number
1770191959
Active
Practice location
100 Mcgregor St
Manchester, NH 03102-3730
Mailing address
3 Hawser Ln
Swampscott, MA 01907-1238
Other practice locations
- 3 Hawser Ln, Swampscott, MA 01907-1238 · (508) 320-8819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN2288964 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 092675-23 (NH) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1770191959
Jaclyn L. Fennell, RN, AGNP-C's National Provider Identifier is 1770191959, issued on Jul 14, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Manchester, NH. The record was last updated on Dec 4, 2023.