Nicole Jean Carroll PA

NPI 1336321827 - Physician Assistant - 363AS0400X

NPI Details
NPI 1336321827
Gender Female
Enumeration Date 11/27/2007
Last Updated 02/25/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
8100 S WALKER AVE
BUILDING A
OKLAHOMA CITY OK, 73139-9402, US
Phone (405) 632-4468
Fax (405) 631-4964
Business Location
8100 S WALKER AVE
BUILDING A
OKLAHOMA CITY OK, 73139-9402, US
Phone (405) 632-4468
Fax (405) 631-4964
Toxanomy
Taxonomy Code 363AS0400X
License State Oklahoma
License Number 1665
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According to our database, Nicole Jean Carroll PA NPI is 1336321827, taxonomy code is 363AS0400X and license number is 1665, license state is located at Oklahoma. Nicole Jean Carroll PA physically located at 8100 S Walker Ave, Oklahoma City OK, 73139-9402. NPI Number Nicole Jean Carroll PA has the Individual type.

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1336321827 NPI number is provided on an as is basis without warranty of any kind. 1336321827 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Jean Carroll PA are for informational purposes only.