Carroll, Amy Lowery

Carroll, Amy Lowery is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Carroll, Amy Lowery can be contacted via phone (601) 984-2000.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X R864240 Mississippi

Profile Details

NPI number 1093157414
LBN Legal business name Carroll, Amy Lowery
Credentials PNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2013
Last updated Jun 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093157414 NPPES
Mississippi MEDICAID 05130237
Mississippi MEDICAID 2365746

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