Laura S Carroll, CFNP
Nurse Practitioner, Family in Jackson, MS. Individual provider (NPI-1).
NPI number1396830485
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1396830485
- Entity type
- Individual (NPI-1)
- Name
- Laura S Carroll
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R576867 | MS | Yes |
Practice location
971 Lakeland DriveSuite 1157
Jackson, MS 39216
Phone 601-362-6900 · Fax 601-362-6111
Mailing address
971 Lakeland DriveSuite 1157
Jackson, MS 39216
Phone 601-362-6900 · Fax 601-362-6111
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