Individual
JILL MARIE CONSELINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN-RN, ATC
Contact information
Practice address
3 CRAIGWOOD TER, WILBRAHAM, MA 01095-1913
(413) 949-1232
Mailing address
3 CRAIGWOOD TER, WILBRAHAM, MA 01095-1913
(413) 949-1232
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
2293928
MA
163WC1500X
Community Health Registered Nurse
Primary
2293928
MA
2255A2300X
Athletic Trainer
1445
MA
Other
Enumeration date
06/12/2006
Last updated
11/04/2022
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