Individual
MRS. WHITNEY JOHNSON CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
60021 MONROE ST, SMITHVILLE, MS 38870-7779
(662) 651-4637
(662) 651-4636
Mailing address
PO BOX 305, SMITHVILLE, MS 38870-0305
(662) 651-4637
(662) 651-4636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R876898
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07125342
—
MS
Enumeration date
09/28/2011
Last updated
05/07/2025
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