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NICOLE MCKENNA NP
NPI 1912797457
Nurse Practitioner - Family in South Boston, MA

Active since May 08, 2025
559 E 6TH ST UNIT 2, SOUTH BOSTON, MA 02127(617) 797-3290 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Mckenna Np NPPES

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

NICOLE MCKENNA NP (NPI 1912797457) is an individual family provider in South Boston, Massachusetts, licensed in Massachusetts (RN2317217) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1912797457
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MCKENNACredential: NP
Location Address559 E 6TH ST UNIT 2South Boston, MA 02127-3003
Mailing Address559 E 6th St Unit 2South Boston, MA 02127-3003 · (617) 797-3290
Phone(617) 797-3290
Sole ProprietorYes
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1912797457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2317217
559 E 6TH ST UNIT 2, South Boston, MA 02127
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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 Nicole Mckenna's NPI number?

The NPI number for Nicole Mckenna is 1912797457. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Nicole Mckenna located?

Nicole Mckenna practices at 559 E 6th St Unit 2, South Boston, MA 02127. The listed phone number is (617) 797-3290.

What is Nicole Mckenna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicole Mckenna was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.