Individual
MRS. AMANDA JO CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
498 SCHRADER RD, CHILLICOTHE, OH 45601-9113
(740) 637-5140
Mailing address
498 SCHRADER RD, CHILLICOTHE, OH 45601-9113
(740) 637-5140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN.151308.MEDS-IV
OH
164W00000X
Licensed Practical Nurse
Primary
PN 151308-M-IV
OH
Other
Enumeration date
11/19/2012
Last updated
03/20/2024
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