Individual
CAROLYN ROSE JEMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
Mailing address
1410 NEW YORK AVE APT A, LYNN HAVEN, FL 32444-3768
(850) 867-3701
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
9538329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9538329
LIFE MANAGEMENT CENTER
FL
Enumeration date
10/18/2021
Last updated
10/18/2021
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