IndividualActive
Jaclyn Fennell, RN, AGNP-C
NPI 1770191959 · Adult Health Nurse Practitioner · Manchester, NH
Provider details
- NPI number
- 1770191959
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- RN2288964 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Mcgregor St
Manchester, NH 03102-3730
Phone: (603) 663-5310
Approximate (ZIP-level) locationGet directions
Mailing address
3 Hawser Ln
Swampscott, MA 01907-1238
Additional practice locations (1)
- 3 Hawser LnSwampscott, MA 01907-1238Phone: (508) 320-8819
Registry dates
- Enumerated
- 2020-07-14
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.