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

Jill T Bolduc, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1215666839

Jill T Bolduc, CPNP-PC is a Pediatric Nurse Practitioner in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-8707
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2308867 (MA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 2308867 (MA)

Record details

NPI number1215666839
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedJune 8, 2022
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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