Geoffroy, Jill Mary

Geoffroy, Jill Mary is an individual health care provider with primary practice located at 491 Dutton St. - Loft 504 , Lowell MA 01854-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Geoffroy, Jill Mary can be contacted via phone (978) 618-9740.

Contact Information

Primary practice address
491 Dutton St. - Loft 504 Lowell MA 01854-0002
Phone: (978) 618-9740
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 172267 Massachusetts

Profile Details

NPI number 1275509747
LBN Legal business name Geoffroy, Jill Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated May 10th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275509747 NPPES
Massachusetts MEDICAID 0700541

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