Individual
MS. KAROL LATONYA MACLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
1068 CRESTHAVEN RD STE 250, MEMPHIS, TN 38119-0800
(901) 417-1779
Mailing address
1251 FLEETS HARBOR DR, MEMPHIS, TN 38103-8991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15453
TN
363L00000X
Nurse Practitioner
A005880
AR
Other
Enumeration date
12/13/2010
Last updated
09/17/2018
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