Individual
JACQUELYN MARIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 SOUTH ST FL 2, GREENSBURG, PA 15601-2775
(724) 837-1894
(724) 837-0681
Mailing address
530 SOUTH ST FL 2, GREENSBURG, PA 15601-2775
(724) 837-1894
(724) 837-0681
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028390
PA
363LG0600X
Gerontology Nurse Practitioner
SP028390
PA
Other
Enumeration date
04/26/2024
Last updated
02/13/2025
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