JAQUELINE DENNISE CARROLL

PHILADELPHIA, PA
NPI1255805990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: PA  SP019576)
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
Ms. JAQUELINE DENNISE CARROLL CRNP
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 215-546-5960
Mailing Address
Ms. JAQUELINE DENNISE CARROLL CRNP
830 MERCER ST
PHILADELPHIA, PA 19125-3519
Phone number: 908-472-6759
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