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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JAQUELINE DENNISE CARROLL, CRNP

Active

MS. JAQUELINE DENNISE CARROLL, CRNP is a Primary Care Nurse Practitioner healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1255805990 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · PHILADELPHIA, PA

Registration Details

NPI Number
1255805990
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2019 (7.585209802291 yrs)
Last Updated
Jan 16, 2019
License
SP019576 (PA)

Practice Information

Address
1526 LOMBARD ST
PHILADELPHIA, PA, 191461625
Browse PA providers · Browse ZIP 19146
Phone
2155465960
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

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MS. MARY A VERDERAME CRNP 1861465106
CATHERINE TIMKO CRNP 1093733123
MS. PAULA LYNN LARSON CRNP 1831107663
MS. JO ANN ELIZABETH SEPPELT CRNP 1992819353
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.