JACLYN MELLO NPI 1730788779

NPI Information

NPI: 1730788779
Provider Name: JACLYN MELLO
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

PECOS Registration: Yes

Address:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Phone: (617) 355-6000
Get Directions

Jaclyn Mello is a neonatal and critical care nurse practitioner in Boston, MA. Jaclyn Mello NPI is 1730788779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-6000

The NPI 1730788779 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 12/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN2264880	MASSACHUSETTS	No
2	363LN0000X	Nurse Practitioner	Neonatal	RN2264880	MASSACHUSETTS	No
3	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	RN2264880	MASSACHUSETTS	Yes
4	163WN0002X	Registered Nurse	Neonatal Intensive Care	RN2264880	MASSACHUSETTS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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