Individual provider · Type 1 NPI
Stephanie Amanda Carroll, NP
Adult Health Nurse Practitioner · Decatur, GA
NPI number
1124586029
Active
Practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Mailing address
3939 Lavista Rd Ste E
Tucker, GA 30084-4847
Other practice locations
- 1580 Agape Way, Decatur, GA 30035-1341 · (917) 704-8165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN216330 (GA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN216330 (GA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124586029
Stephanie Amanda Carroll, NP's National Provider Identifier is 1124586029, issued on Mar 9, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Decatur, GA. The record was last updated on Mar 10, 2019.