Active NPIIndividual provider

Jillian L Carroll, APN

Nurse Practitioner, Family in Hoboken, New Jersey

NPI Number1235697103
Practice location
308 Willow Ave, Hoboken, NJ 07030-3808
Fax
—
Last updated
January 9, 2020

Jillian L Carroll is a Nurse Practitioner, Family based in Hoboken, NJ. Jillian L Carroll practices in Hoboken, NJ and has the professional credentials of APN. The NPI Number for Jillian L Carroll is 1235697103 and holds a License No. 26NJ00909000 (NJ). The current practice location address for Jillian L Carroll is 308 Willow Ave, Hoboken, NJ 07030-3808 and can be reached out via phone at 201-418-1900.

Provider Profile Details

NPI Number
1235697103
Provider Name
Jillian L Carroll
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
308 Willow Ave, Hoboken, NJ 07030-3808
Phone Number
201-418-1900
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
March 8, 2019
Last Update Date
January 9, 2020
Certification Date
January 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
308 Willow Ave
Hoboken, NJ 07030-3808
Zip
07030-3808
Phone Number
201-418-1900
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
830 Madison St Apt 531
Hoboken, NJ 07030-6857
City
Hoboken
State
NJ
Zip
07030-6857

License Information

License Number
26NJ00909000
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jillian L Carroll, APN?

The NPI number of Jillian L Carroll, APN is 1235697103. It was assigned on March 8, 2019 and is currently active in the NPPES registry.

What is the specialty of Jillian L Carroll, APN?

Jillian L Carroll, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00909000.

Where does Jillian L Carroll, APN practice?

The practice location is 308 Willow Ave, Hoboken, NJ 07030-3808. The office can be reached at 201-418-1900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235697103 directly on the NPPES registry website.

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