IndividualActive
Jacquelyn Boland, NNP-BC
NPI 1376885897 · Neonatal Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1376885897
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- SP012733 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
34th Street & Civic Center Boulevard
Philadelphia, PA 19104
Phone: (215) 590-3084
Approximate (ZIP-level) locationGet directions
Mailing address
83 Deer Horn Dr
Mount Royal, NJ 08061-1089
Registry dates
- Enumerated
- 2013-03-22
- Last updated
- 2015-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.