Individual
MS. JENNA HAYDEN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
901 WAYNE ST, OLEAN, NY 14760-2255
(716) 257-1254
(716) 215-6170
Mailing address
901 WAYNE ST, OLEAN, NY 14760-2255
(716) 257-1254
(716) 215-6170
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
774542
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F-403943-01
NY
Other
Enumeration date
12/01/2021
Last updated
06/19/2024
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