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

Jennifer Mazzotta

Individual provider Registered Nurse · NPI 1205720919

Jennifer Mazzotta is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2025, 1 year ago. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2316668 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2316668 (MA)

Record details

NPI number1205720919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address300 Longwood Ave, Boston, MA 02115-5724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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