Provider Demographics
NPI:1134779861
Name:NARRON, JACQUELINE ANN (AGACNP)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:ANN
Last Name:NARRON
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:JACQULINE
Other - Middle Name:ANN
Other - Last Name:SISTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1434 1/2 S WOOSTER ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3457
Mailing Address - Country:US
Mailing Address - Phone:201-306-1083
Mailing Address - Fax:
Practice Address - Street 1:DUKE UNIVERSITY HOSPITAL 2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:342-191-9681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-14
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95012716208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)