Individual
JULIE A CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-0600
Mailing address
1317 W KIMMEL RD, JACKSON, MI 49201-9702
(517) 414-2377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704314911
MI
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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