NPI 1093069163

Jackie Carbery, BS

Practitioner Student in an Organized Health Care Education/Training Program Bloomington, IN

Practice location

Address: 600 N Jordan Ave, Bloomington, IN 47405-3190
Phone: (812) 855-8230

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1093069163
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2012
Record last updated: 29 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.