Provider Demographics
NPI:1558404665
Name:DUFF, JOCELYN (PA)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:DUFF
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 TOLL RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-1435
Mailing Address - Country:US
Mailing Address - Phone:978-462-3009
Mailing Address - Fax:
Practice Address - Street 1:46 TOLL RD
Practice Address - Street 2:UNIT B
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-1435
Practice Address - Country:US
Practice Address - Phone:978-462-3009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA182603363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical