Individual provider · Type 1 NPI
Jacqueline Carroll, NP
Family Nurse Practitioner · Newburyport, MA
NPI number
1104366400
Active
Practice location
3 New Pasture Rd
Newburyport, MA 01950-4040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 178154 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | 178154 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104366400
Jacqueline Carroll, NP's National Provider Identifier is 1104366400, issued on Mar 6, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newburyport, MA. The record was last updated on Sep 20, 2022.