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

Jennifer Modliszewski

Individual provider Adult Health Nurse Practitioner · NPI 1659617207

Jennifer Modliszewski is an Adult Health Nurse Practitioner in Cambridge, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1611 Cambridge St
Cambridge, MA 02138-4302
Phone: (617) 661-5500
Show map & directions

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

Additional practice locations (1)

  • 415 Columbia Rd, Dorchester, MA 02125-2424 — (617) 287-8000

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN2274129 (MA)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 2274129 (MA)

Record details

NPI number1659617207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2012
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021
Mailing address1611 Cambridge St, Cambridge, MA 02138-4302

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