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

Jacqueline Regis, CPNP-AC/PC

Individual provider Pediatric Nurse Practitioner · NPI 1073029930

Jacqueline Regis, CPNP-AC/PC is a Pediatric Nurse Practitioner in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017

Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Brookline Ave, Boston, MA 02215-5418 — (617) 632-3270

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN283145 (MA)

Record details

NPI number1073029930
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC/PC
Sole proprietorNo
NPI enumeratedDecember 14, 2017
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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