Mrs. Jaclyn L Fennell, RN, AGNP-C
Nurse Practitioner, Adult Health in Manchester, New Hampshire
1770191959- Practice location
- 100 Mcgregor St, Manchester, NH 03102-3730
- Phone
- 603-663-5310
- Fax
- —
- Last updated
- December 4, 2023
Jaclyn L Fennell is a Nurse Practitioner, Adult Health based in Manchester, NH. Jaclyn L Fennell practices in Manchester, NH and has the professional credentials of RN, AGNP-C. The NPI Number for Jaclyn L Fennell is 1770191959 and holds a License No. RN2288964 (MA). The current practice location address for Jaclyn L Fennell is 100 Mcgregor St, Manchester, NH 03102-3730 and can be reached out via phone at 603-663-5310.
Provider Profile Details
- NPI Number
- 1770191959
- Provider Name
- Jaclyn L Fennell
- Credential
- RN, AGNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Mcgregor St, Manchester, NH 03102-3730
- Phone Number
- 603-663-5310
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 14, 2020
- Last Update Date
- December 4, 2023
- Certification Date
- December 4, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Mcgregor St
Manchester, NH 03102-3730 - City
- Manchester
- State
- New Hampshire
- Zip
- 03102-3730
- Phone Number
- 603-663-5310
Provider Business Mailing Address Details
- Address
- 3 Hawser Ln
Swampscott, MA 01907-1238 - City
- Swampscott
- State
- MA
- Zip
- 01907-1238
- Phone Number
- 508-320-8819
License Information
- License Number (1)
- RN2288964
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- 092675-23
- License State (2)
- NH
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Jaclyn L Fennell, RN, AGNP-C?
The NPI number of Mrs. Jaclyn L Fennell, RN, AGNP-C is 1770191959. It was assigned on July 14, 2020 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jaclyn L Fennell, RN, AGNP-C?
Mrs. Jaclyn L Fennell, RN, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number RN2288964.
Where does Mrs. Jaclyn L Fennell, RN, AGNP-C practice?
The practice location is 100 Mcgregor St, Manchester, NH 03102-3730. The office can be reached at 603-663-5310 (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 1770191959 directly on the NPPES registry website.