Carroll, Tammy L

Carroll, Tammy L is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Anesthesia Dept., Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Carroll, Tammy L can be contacted via phone (904) 244-4195.

Contact Information

Primary practice address
655 W 8Th St Ufjp Anesthesia Dept. Jacksonville FL 32209-6511
Phone: (904) 244-4195
Fax: (904) 244-4908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2934962 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2934962 Florida

Profile Details

NPI number 1497724595
LBN Legal business name Carroll, Tammy L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 24th, 2017 - about 9 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 1497724595 NPPES
Georgia MEDICAID 627820832B
Georgia MEDICAID 3067301-00
Georgia MEDICAID 627820832A

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