Individual provider · Type 1 NPI
Jennel Marie Vendola, CPNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1770835258
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Other practice locations
- 115 Mill St, Belmont, MA 02478-1064 · (617) 855-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | RN281313 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN281313 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1770835258
Jennel Marie Vendola, CPNP's National Provider Identifier is 1770835258, issued on Oct 9, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Oct 21, 2021.