MISS JESSICA L CARROLL PA-C NPI 1942300090

NPI Information

NPI: 1942300090
Provider Name: MISS JESSICA L CARROLL, PA-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
9501 VENTNOR AVE
MARGATE CITY, NJ
ZIP 08402
Phone: (609) 823-6161
Get Directions

MISS Jessica L Carroll, PA-C is a family nurse practitioner in Margate City, NJ. MISS Jessica L Carroll, PA-C NPI is 1942300090. 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:

9501 VENTNOR AVE
MARGATE CITY, NJ
ZIP 08402-218
Phone: (609) 823-6161
Fax: (609) 823-3413

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	25MP00088900	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	065691CY9	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	PROVIDER IDENTIFICATION N
2	P76399	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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