Active NPIIndividual provider

Jacqueline M Burgoyne, NP

Nurse Practitioner, Adult Health in Waltham, Massachusetts

NPI Number1174948475
Practice location
Bentley University Health Center, Rhodes Hall 175 Forest Street, Waltham, MA 02452-0214
Fax
—
Last updated
July 7, 2025

Jacqueline Marie Burgoyne is a Nurse Practitioner, Adult Health based in Waltham, MA. Jacqueline Marie Burgoyne practices in Waltham, MA and has the professional credentials of NP. The NPI Number for Jacqueline Marie Burgoyne is 1174948475 and holds a License No. RN2284440 (MA). The current practice location address for Jacqueline Marie Burgoyne is Bentley University Health Center, Rhodes Hall 175 Forest Street, Waltham, MA 02452-0214 and can be reached out via phone at 781-891-2222.

Provider Profile Details

NPI Number
1174948475
Provider Name
Jacqueline Marie Burgoyne
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
Bentley University Health Center, Rhodes Hall 175 Forest Street, Waltham, MA 02452-0214
Phone Number
781-891-2222
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
February 23, 2014
Last Update Date
July 7, 2025
Certification Date
July 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Bentley University Health Center
Rhodes Hall 175 Forest Street
Waltham, MA 02452-0214
Zip
02452-0214
Phone Number
781-891-2222
Waltham, MA 02452Get directions →

Provider Business Mailing Address Details

Address
Bentley University Health Center
Rhodes Hall 175 Forest Street
Waltham, MA 02452
City
Waltham
State
MA
Zip
02452
Phone Number
781-891-2222

License Information

License Number (1)
RN2284440
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2284440
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (3)
RN2284440
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Women's Health · 363LW0102X
License Number (4)
RN2284440
License State (4)
MA
Taxonomy (4)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline M Burgoyne, NP?

The NPI number of Jacqueline M Burgoyne, NP is 1174948475. It was assigned on February 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Jacqueline M Burgoyne, NP?

Jacqueline M Burgoyne, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number RN2284440.

Where does Jacqueline M Burgoyne, NP practice?

The practice location is Bentley University Health Center, Rhodes Hall 175 Forest Street, Waltham, MA 02452-0214. The office can be reached at 781-891-2222 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174948475 directly on the NPPES registry website.

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