Individual
MRS. REBEKAH JOY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
775 LEXINGTON AVE, MANSFIELD, OH 44907-1906
(419) 774-4010
Mailing address
1363 WIGTON RD, LUCAS, OH 44843-9328
(419) 603-6691
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
416102
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0034198
OH
Other
Enumeration date
03/16/2018
Last updated
06/27/2023
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