Jacqueline Aimee Dall, Nurse Practitioner
Nurse Practitioner, Adult Health in Boston, MA. Individual provider (NPI-1).
NPI number1376901595
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1376901595
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jacqueline Aimee Dall
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2016
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 307572 | NY | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 421273 | NY | |
| 363L00000X | Nurse Practitioner | RN2292036 | MA |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2000
Mailing address
855 Central AveAlbany, NY 12206-1513
Phone 518-434-5678 · Fax 518-434-0732
Other practice locations
855 Central Avenue
Albany, NY 12206
Albany, NY 12206
Phone 518-434-5678 · Fax 518-434-0732
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