Active NPIIndividual provider

Jennifer K Porter, CRNA

Nurse Anesthetist, Certified Registered in Boston, Massachusetts

NPI Number1689103673
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
January 19, 2018

Jennifer Kelly Porter is a Nurse Anesthetist, Certified Registered based in Boston, MA. Jennifer Kelly Porter practices in Boston, MA and has the professional credentials of CRNA. The NPI Number for Jennifer Kelly Porter is 1689103673 and holds a License No. 117377 (MA). The current practice location address for Jennifer Kelly Porter is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-726-3030.

Provider Profile Details

NPI Number
1689103673
Provider Name
Jennifer Kelly Porter
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
617-726-3030
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2017
Last Update Date
January 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
617-726-3030
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
57 Pilgrim RD
Holliston, MA 01746-2422
City
Holliston
State
MA
Zip
01746-2422

License Information

License Number
117377
License State
MA
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · 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 Jennifer K Porter, CRNA?

The NPI number of Jennifer K Porter, CRNA is 1689103673. It was assigned on June 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Jennifer K Porter, CRNA?

Jennifer K Porter, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number 117377.

Where does Jennifer K Porter, CRNA practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-726-3030 (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 1689103673 directly on the NPPES registry website.

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