Individual
JOANN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1154A LEXINGTON RD, GEORGETOWN, KY 40324-9330
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010362
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1119939
RN LICENSE
KY
01
—
3010362
APRN LICENSE
KY
Enumeration date
06/20/2016
Last updated
04/09/2024
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