Individual
LAURA S CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
971 LAKELAND DRIVE, SUITE 1157, JACKSON, MS 39216
(601) 362-6900
(601) 362-6111
Mailing address
971 LAKELAND DRIVE, SUITE 1157, JACKSON, MS 39216
(601) 362-6900
(601) 362-6111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R576867
MS
Other
Enumeration date
10/04/2006
Last updated
07/09/2007
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