Healthcare Provider Details

I. General information

NPI: 1598881245
Provider Name (Legal Business Name): JACQUELINE HARTIGAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DUKE HEALTH CARY PL STE 230
CARY NC
27519-6760
US

IV. Provider business mailing address

15 RAILROAD AVE
SOUTH HAMILTON MA
01982-2218
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-4400
  • Fax:
Mailing address:
  • Phone: 978-468-7381
  • Fax: 978-468-6020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number268307
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number268307
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: