Miss Jessica L Carroll, PA-C
Nurse Practitioner, Family in Margate City, New Jersey
1942300090- Practice location
- 9501 Ventnor Ave, Margate City, NJ 08402-2218
- Phone
- 609-823-6161
- Fax
- 609-823-3413
- Last updated
- July 8, 2007
Jessica L Carroll is a Nurse Practitioner, Family based in Margate City, NJ. Jessica L Carroll practices in Margate City, NJ and has the professional credentials of PA-C. The NPI Number for Jessica L Carroll is 1942300090 and holds a License No. 25MP00088900 (NJ). The current practice location address for Jessica L Carroll is 9501 Ventnor Ave, Margate City, NJ 08402-2218 and can be reached out via phone at 609-823-6161 and via fax at 609-823-3413.
Provider Profile Details
- NPI Number
- 1942300090
- Provider Name
- Jessica L Carroll
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9501 Ventnor Ave, Margate City, NJ 08402-2218
- Phone Number
- 609-823-6161
- Fax Number
- 609-823-3413
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 25, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9501 Ventnor Ave
Margate City, NJ 08402-2218 - City
- Margate City
- State
- New Jersey
- Zip
- 08402-2218
- Phone Number
- 609-823-6161
- Fax Number
- 609-823-3413
Provider Business Mailing Address Details
- Address
- 13421 Kelvin Ave
Philadelphia, PA 19116-1327 - City
- Philadelphia
- State
- PA
- Zip
- 19116-1327
- Phone Number
- 267-474-6792
License Information
- License Number
- 25MP00088900
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miss Jessica L Carroll, PA-C?
The NPI number of Miss Jessica L Carroll, PA-C is 1942300090. It was assigned on September 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Miss Jessica L Carroll, PA-C?
Miss Jessica L Carroll, PA-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 25MP00088900.
Where does Miss Jessica L Carroll, PA-C practice?
The practice location is 9501 Ventnor Ave, Margate City, NJ 08402-2218. The office can be reached at 609-823-6161 (phone) or 609-823-3413 (fax).
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 1942300090 directly on the NPPES registry website.