Individual
JILLIAN L CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(201) 418-1900
Mailing address
830 MADISON ST APT 531, HOBOKEN, NJ 07030-6857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00909000
NJ
Other
Enumeration date
03/08/2019
Last updated
01/09/2020
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