Individual
JESSICA L MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
142 WOODRIDGE DRIVE, BERLIN, VT 05602-9516
(802) 371-4700
(802) 371-4720
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-4700
(802) 371-4720
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101-0068303
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017871
—
VT
Enumeration date
06/02/2010
Last updated
12/23/2014
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