Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacklyn Omorodion, MD

Individual provider Clinical Genetics (M.D.) Physician · NPI 1497215156

Jacklyn Omorodion, MD is a Clinical Genetics (M.D.) Physician in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 1015111 (MA)

Record details

NPI number1497215156
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address300 Longwood Ave, Boston, MA 02115-5724

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