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Mrs. Jacqueline Ann Carrillo, CFNP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1346460078

Jacqueline Ann Carrillo is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Jacqueline Ann Carrillo practices in Jackson, MS and has the professional credentials of CFNP. The NPI Number for Jacqueline Ann Carrillo is 1346460078 and holds a License No. R752134 (Mississippi).

The current practice location address for Jacqueline Ann Carrillo is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5610 and via fax at 601-984-5783.

Location: 2500 N State St, Jackson, MS, 39225-2727
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Provider Profile Details
NPI Number
1346460078
Provider Name
Jacqueline Ann Carrillo
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 39225-2727
Phone Number
601-984-5610
Fax Number
601-984-5783
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09120238 05 MS
302I507415 01 MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5610
Fax Number
601-984-5783
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5610
Fax Number
601-984-5783
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R752134 (Mississippi)
Definition
Definition to come...
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