Jillian L Carroll, APN
Nurse Practitioner, Family in Hoboken, NJ. Individual provider (NPI-1).
NPI number1235697103
StatusActive
Last updated in NPPESJan 9, 2020
Details
- NPI
- 1235697103
- Entity type
- Individual (NPI-1)
- Name
- Jillian L Carroll
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2019
- Certification date
- Jan 9, 2020
- Last updated
- Jan 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00909000 | NJ | Yes |
Practice location
308 Willow AveHoboken, NJ 07030-3808
Phone 201-418-1900
Mailing address
830 Madison St Apt 531Hoboken, NJ 07030-6857
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