Carroll, Nicole Jean

Carroll, Nicole Jean is an individual health care provider with primary practice located at 8100 S Walker Ave Bldg A , Oklahoma City OK 73139-9475. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carroll, Nicole Jean can be contacted via phone (405) 632-4468.

Contact Information

Primary practice address
8100 S Walker Ave Bldg A Oklahoma City OK 73139-9475
Phone: (405) 632-4468
Fax: (405) 632-0436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1665 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1665 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1665 Oklahoma

Profile Details

NPI number 1336321827
LBN Legal business name Carroll, Nicole Jean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Apr 23rd, 2019 - about 6 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 1336321827 NPPES
Oklahoma Other 1665 MEDICAL LICENSE

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