Individual provider · Type 1 NPI

Shannon Joan Carroll, NP-C

Nurse Practitioner · Baltimore, MD

NPI number 1215599170 Active

Practice location

1448 Richardson St
Baltimore, MD 21230-5322

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR198017 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215599170

Shannon Joan Carroll, NP-C's National Provider Identifier is 1215599170, issued on Jul 1, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 4, 2024.