JACLYN MCGOWAN NPI 1144668971

NPI Information

  • NPI: 1144668971
  • Provider Name: JACLYN MCGOWAN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 FRUIT ST
    MGH ELLISON 18 PEDIATRICS
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 724-5810

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NPI Details

Jaclyn Mcgowan is a pediatrics nurse practitioner in Boston, MA. Jaclyn Mcgowan NPI is 1144668971. 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:

55 FRUIT ST
MGH ELLISON 18 PEDIATRICS
BOSTON, MA
ZIP 02114-621
Phone: (617) 724-5810

The NPI 1144668971 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 6/14/2013 and was last updated on 6/14/2013.

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
1363LP0200XNurse PractitionerPediatricsRN283317MASSACHUSETTSYes

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: 11/21/2025

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