SearchVermont101YA0400X

Jacquelyn Georgina

NPI 1568960110 · on the registry since 2018

Practice

Address
16 Town Crier Dr
Brattleboro, VT 05301
Phone
(802) 258-4623
Organisation at this address
Habit Opco, Llc
Habit Opco, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont