Individual
MS. CAROL ANN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN BC PSYCH NP
Contact information
Practice address
219 NORTH AVE, STE 201, HEALTHCARE SERVICES INC, LA FOLLETTE, TN 37766-2732
(423) 566-1314
(423) 566-2466
Mailing address
219 NORTH AVE, STE 201, HEALTHCARE SERVICES INC, LA FOLLETTE, TN 37766-2732
(423) 566-1314
(423) 566-2466
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN123686
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3907212
—
TN
01
—
4048763
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/29/2005
Last updated
03/10/2008
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