Individual
MS. JILL MARY GEOFFROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
491 DUTTON ST. - LOFT 504, LOWELL, MA 01854-0002
(978) 618-9740
Mailing address
491 DUTTON ST UNIT 504, LOWELL, MA 01854-4291
(978) 618-9740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
172267
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700541
—
MA
Enumeration date
02/24/2006
Last updated
05/10/2017
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