Carroll, Jacquelyn Marie

Carroll, Jacquelyn Marie is an individual health care provider with primary practice located at 562 Shearer St Ste 103 , Greensburg PA 15601-2746. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Carroll, Jacquelyn Marie can be contacted via phone (724) 837-1894.

Contact Information

Primary practice address
562 Shearer St Ste 103 Greensburg PA 15601-2746
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP028390 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP028390 Pennsylvania

Profile Details

NPI number 1972359263
LBN Legal business name Carroll, Jacquelyn Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2024
Last updated Apr 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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