Nicole Jean Carroll in Oklahoma City - Physician Assistant

Nicole Jean Carroll - NPI 1336321827

Nicole Jean Carroll is a Physician Assistant in Oklahoma City, Oklahoma. Nicole Jean Carroll practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole Jean Carroll is 1336321827. The last update date is 2019-04-23.

Nicole Jean Carroll's current location address is 8100 S Walker Ave Bldg A, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056324468 and fax number 4056320436. The mailing address for Nicole Jean Carroll is 8100 S Walker Ave Bldg A, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Jean Carroll
Address 8100 S Walker Ave Bldg A, Oklahoma City, Oklahoma
Phone Number 4056324468
Fax Number 4056320436
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1336321827
Provider Enumeration Date 2007-11-27
Last Updated Date 2019-04-23

Provider Mailing Address Detail

Address 8100 S Walker Ave Bldg A
City Oklahoma City
State Oklahoma (OK)
Post Code 731399475
Phone Number 4056324468
Fax Number 4056320436

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1665
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1665 OK MEDICAL LICENSE

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FAQs about Nicole Jean Carroll

What is the unique identifier code issued to Nicole Jean Carroll by the Centers for Medicare & Medicaid Services?

The Nicole Jean Carroll has been assigned the NPI (National Provider Identifier) 1336321827. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Nicole Jean Carroll?

The Nicole Jean Carroll is situated at 8100 S Walker Ave Bldg A, in the city of Oklahoma City, state of OK, with the zip code 731399475.

What is Nicole Jean Carroll's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nicole Jean Carroll is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did Nicole Jean Carroll receive its 1336321827 assignment?

The Nicole Jean Carroll was assigned its 1336321827 on 2007-11-27, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Nicole Jean Carroll, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Nicole Jean Carroll, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-23.

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