Individual
CARRIE ROSS QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 739-4944
(307) 739-7446
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(307) 739-7446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45468
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155389500
—
WY
Enumeration date
10/14/2017
Last updated
02/17/2021
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