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Individual

JACQUELINE CARBONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
2890 W 92ND AVE, FEDERAL HEIGHTS, CO 80260-5811
(720) 604-1243
Mailing address
700 E CLEVELAND ST, LAFAYETTE, CO 80026-2308
(720) 604-1243

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
171285
CO
363L00000X
Nurse Practitioner
Primary
171285
CO
363LA2100X
Acute Care Nurse Practitioner
171285
CO

Other

Enumeration date
10/07/2016
Last updated
09/20/2024
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