| Doctor Name: | JACQUELINE G ROLLOCK DURETTE |
| NPI Number: | 1518189851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.,M.S.N.,B.C. |
| License Number: | 128919 |
| Business Practice Address: | 230 Cotuit Rd Marstons Mills, MA - 026481834 |
| Business Phone Number: | 5084283698 |
| Business Fax Number: | 5084280005 |
| Mailing Address: | 230 Cotuit Rd, MARSTONS MILLS |
| State: | MA |
| Postal Code: | 026481834 |
| Phone Number: | 5084283698 |
| Fax Number: | 5084280005 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 128919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |