person
Mrs. Nicole Carrillo, PA-C
Medical Physician Assistant in Jersey City, New Jersey
NPI 1063660983

Nicole Carrillo is a Medical Physician Assistant based in Jersey City, NJ and is specialized in Medical. Nicole Carrillo practices in Jersey City, NJ and has the professional credentials of PA-C. The NPI Number for Nicole Carrillo is 1063660983 and holds a License No. 25MP00203400 (New Jersey).

The current practice location address for Nicole Carrillo is 377 Jersey Ave Ste 450, Jersey City, NJ and can be reached out via phone at 201-915-2525. You can also correspond with Nicole Carrillo through the mailing address at 377 JERSEY AVE STE 450, JERSEY CITY, NJ - 07302-4397 (mailing address contact number: 201-915-2525).

Location: 377 Jersey Ave Ste 450, Jersey City, NJ, 07302-4397
person
Provider Profile Details
NPI Number
1063660983
Provider Name
Nicole Carrillo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
377 Jersey Ave Ste 450, Jersey City, NJ, 07302-4397
Phone Number
201-915-2525
Fax Number
Provider Enumeration Date
09/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25MP00203400 01 NJ LICENSE
institution
Provider Business Practice Location Address Details
Address
377 Jersey Ave Ste 450
City
State
Zip
07302-4397
Phone Number
201-915-2525
Fax Number
person
Provider Business Mailing Address Details
Address
377 Jersey Ave Ste 450
City
State
Zip
07302-4397
Phone Number
201-915-2525
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00203400 (New Jersey)
Definition
Definition to come...
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