Carroll, Victoria L.

Carroll, Victoria L. is an individual health care provider with primary practice located at 58 Timber Creek Dr , Cordova TN 38018-4233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Carroll, Victoria L. can be contacted via phone (901) 566-1002.

Contact Information

Primary practice address
58 Timber Creek Dr Cordova TN 38018-4233
Phone: (901) 566-1002
Fax: (901) 566-1951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 901673 Mississippi

Profile Details

NPI number 1427501857
LBN Legal business name Carroll, Victoria L.
Credentials MSN, PMHNP-BC, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Jun 3rd, 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 1427501857 NPPES
Mississippi MEDICAID 08934772
Mississippi Other 541991YSWN
Mississippi Other 1035I00515
Mississippi MEDICAID Q025591

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