Carroll, Jillian

Carroll, Jillian is an individual health care provider with primary practice located at 1002 Jefferson St Suite 400, Laurel MS 39440-4306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Carroll, Jillian can be contacted via phone (601) 649-7802.

Contact Information

Primary practice address
1002 Jefferson St Suite 400 Laurel MS 39440-4306
Fax: (601) 428-7841
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Mississippi

Profile Details

NPI number 1770974016
LBN Legal business name Carroll, Jillian
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2015
Last updated Jan 6th, 2020 - about 5 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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