Individual
JOHNETTA RA'SHAWN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 CARR CIR, HEADLAND, AL 36345-1906
(334) 718-2444
Mailing address
208 CARR CIR, HEADLAND, AL 36345-1906
(334) 718-2444
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-177842
AL
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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