Individual
KATHRYN CONNER CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
17280 HIGHWAY 17, LEXINGTON, MS 39095-6614
(662) 834-1857
Mailing address
1337 LINDEN PL, JACKSON, MS 39202-1806
(601) 212-8455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902346
MS
Other
Enumeration date
10/20/2017
Last updated
03/17/2018
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