Individual
MRS. CAROLYN LISA FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC,FNP-C, RNFA
Contact information
Practice address
4211 JOE RAMSEY BLVD E STE 100, GREENVILLE, TX 75401-7856
(903) 408-7768
(903) 408-7769
Mailing address
4211 JOE RAMSEY BLVD E STE 100, GREENVILLE, TX 75401-7856
(903) 408-7768
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
741285
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1000942
TX
363LF0000X
Family Nurse Practitioner
1000942
TX
Other
Enumeration date
07/01/2020
Last updated
04/01/2022
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