Search › Massachusetts › 207RI0011X
Jacqueline Sly, FNP, DNP
NPI 1912284316 · on the registry since 2011
Practice
- Address
- 110 Liberty St
Brockton, MA 02301 - Phone
- (508) 894-0400
- Fax
- (508) 894-0356
- Organisation at this address
- Patricia L Ramanauskas
Brockton Hospital, Inc.
Brockton Hospital, Inc.
Brockton Hospital, Inc.
Fitness Forum Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 138
Additional practice sites
- 2 Great Falls Plz Ste 21, Auburn, ME
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 363LF0000X
364SF0001X - Licence states on file
- ME, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-09
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 Massachusetts