Individual
JILLIAN MARIE ARMENTROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3278
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN252978
MA
363LA2100X
Acute Care Nurse Practitioner
RN252978
MA
Other
Enumeration date
09/16/2010
Last updated
01/30/2015
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