Individual
CAROLYN HERBERT
Active
Individual
CAROLYN HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
217516
AR
363LF0000X
Family Nurse Practitioner
Primary
2021038571
MO
363LF0000X
Family Nurse Practitioner
33060
TN
Other
Enumeration date
09/24/2021
Last updated
12/30/2025
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