Individual
MS. JACQUELINE RAE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 COLCHESTER AVE, EMERGENCY DEPT-MAIN PAVILION, BURLINGTON, VT 05401-1473
(802) 847-3982
(802) 847-5963
Mailing address
15 RANGE RD, UNDERHILL, VT 05489-9410
(802) 899-3638
(802) 847-5963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
055-0030231
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0AP0891
—
VT
Enumeration date
07/28/2006
Last updated
05/03/2026
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