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Individual
CARISSA MEREA DUVALL
Active
Individual
CARISSA MEREA DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN330541
GA
363LA2200X
Adult Health Nurse Practitioner
RN330541
GA
363LG0600X
Gerontology Nurse Practitioner
RN330541
GA
363LP2300X
Primary Care Nurse Practitioner
RN330541
GA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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