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Individual

MRS. JACQUE CHIRICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
321 VETERANS MEMORIAL DRIVE, SUITE 125, TROY, AL 36082-0001
(334) 670-3452
(334) 670-3853
Mailing address
321 VETERANS MEMORIAL DRIVE, SUITE 125, TROY, AL 36082-0001
(334) 670-3452
(334) 670-3853

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-061240
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051557146
AL
01
CG4892
MCARE B RAILROAD
AL
Enumeration date
07/22/2006
Last updated
08/21/2024
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