Individual
DR. JACQUELINE R SLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DNP
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301
(508) 894-0400
(508) 894-0356
Mailing address
8 PIKES HL, NORWAY, ME 04268-5340
(207) 744-6444
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
CNP221579
ME
363LF0000X
Family Nurse Practitioner
CNP221579
ME
364SF0001X
Family Health Clinical Nurse Specialist
RN189769
MA
Other
Enumeration date
11/14/2011
Last updated
08/09/2024
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