Individual
MRS. VICTORIA L. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC, RN
Contact information
Practice address
364 S FRONT ST STE 201, MEMPHIS, TN 38103-4161
(901) 296-3000
Mailing address
364 S FRONT ST STE 201, MEMPHIS, TN 38103-4161
(901) 296-3000
(949) 543-2924
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901673
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08934772
—
MS
01
—
1035I00515
MEDICARE TN
TN
01
—
541991YSWN
MEDICARE MS
MS
05
—
Q025591
—
TN
Enumeration date
08/02/2016
Last updated
02/04/2025
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