Carroll, Victoria L.

Carroll, Victoria L. is an individual health care provider with primary practice located at 364 S Front St Ste 201 , Memphis TN 38103-4161. 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) 296-3000.

Contact Information

Primary practice address
364 S Front St Ste 201 Memphis TN 38103-4161
Fax:
Website:

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 Feb 4th, 2025 - about last year

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
Tennessee Other 1035I00515 MEDICARE TN
Tennessee Other 541991YSWN MEDICARE TN
Tennessee MEDICAID Q025591 MEDICARE TN
Tennessee MEDICAID 08934772 MEDICARE TN

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