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

Jennifer Nicole Depatie

Individual provider Physician Assistant · NPI 1710667712

Jennifer Nicole Depatie is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023

Practice location Address checks out

55 Fruit St White 1
Boston, MA 02114-2696
Phone: (617) 724-4100
Fax: (617) 726-7415
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101071 (MA)

Record details

NPI number1710667712
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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