Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jaclyn L Fennell, RN, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1770191959

Mrs. Jaclyn L Fennell, RN, AGNP-C is a Nurse Practitioner in Manchester, New Hampshire. Qualified in 2020, 6 years ago. Practices with Mary Hitchcock Memorial Hospital, a 1,266-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and New Hampshire.

Years since qualifying
6
Licensed in
MA, NH
In the registry since
2020
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

100 McGregor St
Manchester, NH 03102-3730
Phone: (603) 663-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Hawser Ln, Swampscott, MA 01907-1238 — (508) 320-8819

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 092675-23 (NH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN2288964 (MA)

Record details

NPI number1770191959
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , AGNP-C
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mary Hitchcock Memorial Hospital — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Manchester