Individual
AMBER SHEA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5653 FRIST BLVD STE 630, HERMITAGE, TN 37076-2094
(629) 255-2247
(629) 255-4191
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23823
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23823
LICENSE
TN
05
—
Q035211
—
TN
Enumeration date
03/23/2018
Last updated
02/20/2019
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