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Individual

TRACY ELIZABETH CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
60 GREERS FERRY RD, DRASCO, AR 72530-9130
(870) 262-1200
(870) 262-6966
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124240
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
346415758
AR
Enumeration date
04/06/2020
Last updated
10/20/2025
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