Provider Demographics
NPI:1134778665
Name:CABRAL, JOCELYN M
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:M
Last Name:CABRAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 HARTWELL ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-3025
Mailing Address - Country:US
Mailing Address - Phone:508-689-9706
Mailing Address - Fax:781-859-4190
Practice Address - Street 1:26 IDLEWOODS DR
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-5065
Practice Address - Country:US
Practice Address - Phone:774-319-4434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-07
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2272818363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care