MS. Jaqueline Dennise Carroll, CRNP is a primary care nurse practitioner in Philadelphia, PA. MS. Jaqueline Dennise Carroll, CRNP NPI is 1255805990. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1526 LOMBARD ST
PHILADELPHIA, PA
ZIP 19146-625
Phone: (215) 546-5960
The NPI 1255805990 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/16/2019 and was last updated on 1/16/2019.