National Provider Identifier
Jenna Lyn Daddario, PA-C
Jenna Lyn Daddario, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 726-2000.
Source: public NPPES record, last updated September 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1184973042
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 06, 2012
- Last Updated
- September 22, 2020
Practice Location
- 55 Fruit St Ste 435
- Boston, MA 02114-2621
Phone: (617) 726-2000
Mailing Address
- 17 Lockewood Dr
- Franklin, MA 02038-2347
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
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Biography
Jenna Daddario, PA-C, is a physician assistant in the Department of Plastic & Reconstructive Surgery at Massachusetts General Hospital. She works with Mass General’s Interdisciplinary Care for Amputees Network, with clinical interests that include peripheral nerve surgery, microsurgery, targeted muscle reinnervation, limb salvage, amputation care, and reconstructive surgery. Daddario earned a biology degree from Loyola Marymount University, completed her physician assistant training at Stony Brook University, and previously spent 10 years practicing in emergency and concierge medicine in Manhattan before returning to Boston in 2020.
Full Record
- NPI
- 1184973042
- Entity Type
- Individual
- Last Name
- Daddario
- First Name
- Jenna
- Middle Name
- Lyn
- Credential
- PA-C
- Mailing Street Address
- 17 Lockewood Dr
- Mailing City
- Franklin
- Mailing State
- MA
- Mailing ZIP Code
- 02038-2347
- Mailing Country
- US
- Mailing Phone
- (508) 509-2735
- Practice Street Address
- 55 Fruit St Ste 435
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-2621
- Practice Country
- US
- Practice Phone
- (617) 726-2000
- Enumeration Date
- September 06, 2012
- Last Updated
- September 22, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 22, 2020
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)