Sly, Jacqueline R

Sly, Jacqueline R is an individual health care provider with primary practice located at 110 Liberty St , Brockton MA 02301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sly, Jacqueline R can be contacted via phone (508) 894-0400.

Contact Information

Primary practice address
110 Liberty St Brockton MA 02301
Phone: (508) 894-0400
Fax: (508) 894-0356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X RN189769 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP221579 Maine

Profile Details

NPI number 1912284316
LBN Legal business name Sly, Jacqueline R
Credentials FNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2011
Last updated Dec 5th, 2022 - about 2 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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