MS. JENNIFER ROSE BERTOLON CPNP, RN
NPI 1104171321
Nurse Practitioner - Pediatrics in Beverly, MA

Q: What is Jennifer Bertolon's NPI number?

The NPI number for Jennifer Bertolon is 1104171321. It was assigned to this individual provider in the NPPES registry on July 14, 2012.

Q: What is Jennifer Bertolon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bertolon was last updated on July 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2012

245 DODGE ST, BEVERLY, MA 01915(978) 618-0239 Get Directions Write a Review

NPPES record last updated: July 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Jennifer Rose Bertolon Cpnp, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER ROSE BERTOLON CPNP, RN (NPI 1104171321) is an individual pediatrics provider in Beverly, Massachusetts, licensed in Massachusetts (20121422) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1104171321

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. JENNIFER ROSE BERTOLONCredential: CPNP, RN

Location Address245 DODGE STBeverly, MA 01915-1275

Mailing Address245 Dodge StBeverly, MA 01915-1275 · (978) 618-0239

Phone(978) 618-0239

Sole ProprietorNo

Enumeration DateJuly 14, 2012

✔ NPI 1104171321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MA · 20121422

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN2269678 (MA)

245 DODGE ST, Beverly, MA 01915

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bertolon's NPI number?

The NPI number for Jennifer Bertolon is 1104171321. It was assigned to this individual provider in the NPPES registry on July 14, 2012.

Where is Jennifer Bertolon located?

Jennifer Bertolon practices at 245 Dodge St, Beverly, MA 01915. The listed phone number is (978) 618-0239.

What is Jennifer Bertolon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jennifer Bertolon was last updated on July 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.