Miss Jessica L Carroll, PA-C is a
Nurse Practitioner - Family based in Margate City, New Jersey. Miss Jessica L Carroll is licensed to practice in New Jersey (license number 25MP00088900) and her current practice location is
9501 Ventnor Ave, Margate City, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(609) 823-6161.
NPI number for Miss Jessica L Carroll is 1942300090 and her current mailing address is 13421 Kelvin Ave, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942300090.
Provider's Profile
| Full Name | Miss Jessica L Carroll |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 9501 Ventnor Ave, Margate City, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942300090
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Miss Jessica L Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942300090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 25MP00088900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jessica L Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Jessica L Carroll, PA-C
13421 Kelvin Ave,
Philadelphia, PA 19116-1327
Ph: (267) 474-6792 | Miss Jessica L Carroll, PA-C
9501 Ventnor Ave,
Margate City, NJ 08402-2218
Ph: (609) 823-6161 |
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