Individual
MS. JACQUELINE ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 785-6215
(608) 785-6315
Mailing address
2144 KING ST, LA CROSSE, WI 54601-4245
(608) 790-6508
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
WI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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