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

MS. Jacqueline Aimee Dall, NURSEPRACTITIONER

Individual provider Women's Health Nurse Practitioner · NPI 1376901595

MS. Jacqueline Aimee Dall, NURSEPRACTITIONER is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2015, 11 years ago. Practices with Upper Hudson Planned Parenthood Inc, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
11
Licensed in
MA, NY
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 855 Central Avenue, Albany, NY 12206 — (518) 434-5678

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 307572 (NY)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 421273 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2292036 (MA)

Record details

NPI number1376901595
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 2, 2016
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Upper Hudson Planned Parenthood Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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