Carroll, Jaqueline Dennise
Carroll, Jaqueline Dennise is an individual health care provider with primary practice located at 1526 Lombard St , Philadelphia PA 19146-1625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Carroll, Jaqueline Dennise can be contacted via phone (215) 546-5960.Contact Information
Primary practice address
1526 Lombard St
Philadelphia PA 19146-1625
Phone: (215) 546-5960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | SP019576 | Pennsylvania |
Profile Details
| NPI number | 1255805990 |
|---|---|
| LBN Legal business name | Carroll, Jaqueline Dennise |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2019 |
| Last updated | Jan 16th, 2019 - about 5 years ago |
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.
Popular Providers
-
Lazar, Nellie Riendeau
3535 Market St. Ste. 1371 Chop Adolescent Initiative, Philadelphia PA 19104-5021 -
Timko, Catherine
34Th And Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104 -
Larson, Paula Lynn
6120-B Woodland Ave 2Nd Floor, Philadelphia PA 19142 -
Otte, Carol
125 S 9Th St , Philadelphia PA 19107-5125 -
Warner, Margaret
3508 Market St Ste 213 , Philadelphia PA 19104-3320 -
Pearson, Lois K
University & Woodland Ave , Philadelphia PA 19104 -
Wolff, Kathleen C
125 S 9Th St , Philadelphia PA 19107-5125 -
Sciamanna, Cecilia
3900 Woodland Ave Philadelphia Va Medical Center, Philadelphia PA 19104-4551