Individual
JACLYN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-9680
(937) 548-2087
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-9680
(937) 548-2087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030540
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.0030540
OH
Other
Enumeration date
06/22/2022
Last updated
05/16/2024
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