Individual
KATHLEEN ELIZABETH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
17 CENTRE PLAZA DR, JACKSON, TN 38305-2862
(731) 512-0104
Mailing address
17 CENTRE PLAZA DR, JACKSON, TN 38305-2862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000022418
TN
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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