Mary Ellen Jagelski
Nurse Practitioner - Women's Health
15 Chilton Rd
West Roxbury
, Massachusetts 02132-1717
Mary Ellen Jagelski
Nurse Practitioner - Women's Health
15 Chilton Rd
West Roxbury
, Massachusetts 02132-1717
(617) 325-3215
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Mary Ellen Jagelski
- 15 Chilton Rd
- West Roxbury, MA
- Zip : 02132-1717
- Phone : (617) 325-3215
Second Address
- Mary Ellen Jagelski
- 15 Chilton Rd
- West Roxbury, MA
- Zip : 02132-1717
- Phone : (617) 325-3215
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 127565 | MA |
National Provider Identifier
| NPI | 1093115115 |
|---|---|
| Provider Name | Mary Ellen Jagelski |
| First Address | West Roxbury, MA 02132-1717 |
| Second Address | West Roxbury, MA 02132-1717 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2014 |
| Last Update Date | 26/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.