National Provider Identifier
Jennifer Shannon Patoulidis, PA
Jennifer Shannon Patoulidis, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (617) 636-8488.
Source: public NPPES record, last updated August 25, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1689976011
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- November 17, 2010
- Last Updated
- August 25, 2015
Practice Location
- 800 Washington St
- Neurology Dept
- Boston, MA 02111-1552
Phone: (617) 636-8488
Mailing Address
- 35 Kenmere RD
- Medford, MA 02155-4117
Specialties
- Medical Physician Assistant (363AM0700X)
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Biography
Jennifer Patoulidis, PA-C, is a Boston-based physician assistant with a neurosurgery practice focus and an affiliation with Tufts Medical Center. She also serves on the Tufts University School of Medicine faculty as a Clinical Assistant Professor in Public Health and Community Medicine, and her academic profile lists a Master of Science from Pace University and a bachelor’s degree from the College of the Holy Cross.
Full Record
- NPI
- 1689976011
- Entity Type
- Individual
- Last Name
- Patoulidis
- First Name
- Jennifer
- Middle Name
- Shannon
- Credential
- PA
- Mailing Street Address
- 35 Kenmere RD
- Mailing City
- Medford
- Mailing State
- MA
- Mailing ZIP Code
- 02155-4117
- Mailing Country
- US
- Practice Street Address
- 800 Washington St
- Practice Address Line 2
- Neurology Dept
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02111-1552
- Practice Country
- US
- Practice Phone
- (617) 636-8488
- Enumeration Date
- November 17, 2010
- Last Updated
- August 25, 2015
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Medical Physician Assistant (363AM0700X)