Provider Demographics
NPI:1528193216
Name:KLEMM, JENNIFER ANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANN
Last Name:KLEMM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:BLAKE 1570
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-2806
Mailing Address - Fax:617-726-7667
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:BLAKE 1570
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-2806
Practice Address - Fax:617-726-7667
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2011-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA251764363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care