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JACQUELINE CARROLL NP
NPI 1104366400
Nurse Practitioner - Family in Newburyport, MA

Active since March 06, 2017
3 NEW PASTURE RD, NEWBURYPORT, MA 01950(978) 204-8686 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Carroll Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE CARROLL NP (NPI 1104366400) is an individual family provider in Newburyport, Massachusetts, licensed in Massachusetts (178154) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1104366400
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE CARROLLCredential: NP
Location Address3 NEW PASTURE RDNewburyport, MA 01950-4040
Mailing Address3 New Pasture RdNewburyport, MA 01950-4040 · (978) 204-8686
Phone(978) 204-8686
Sole ProprietorNo
Enumeration DateMarch 6, 2017
Last NPPES UpdateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1104366400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · 178154
Also ListedNurse PractitionerTaxonomy 363L00000X · License 178154 (MA)
3 NEW PASTURE RD, Newburyport, MA 01950
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Carroll's NPI number?

The NPI number for Jacqueline Carroll is 1104366400. It was assigned to this individual provider in the NPPES registry on March 6, 2017.

Where is Jacqueline Carroll located?

Jacqueline Carroll practices at 3 New Pasture Rd, Newburyport, MA 01950. The listed phone number is (978) 204-8686.

What is Jacqueline Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Carroll was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.