Individual
JACQUELINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 NEW PASTURE RD, NEWBURYPORT, MA 01950-4040
(978) 204-8686
Mailing address
3 NEW PASTURE RD, NEWBURYPORT, MA 01950-4040
(978) 204-8686
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
178154
MA
363LF0000X
Family Nurse Practitioner
Primary
178154
MA
Other
Enumeration date
03/06/2017
Last updated
09/20/2022
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