Individual provider · Type 1 NPI
Raven J. McCarroll, APRN
Family Nurse Practitioner · Jefferson City, TN
NPI number
1235862483
Active
Practice location
615 E Broadway Blvd
Jefferson City, TN 37760-4906
Fax (423) 616-8363
Mailing address
368 Yorkshire Ct
Morristown, TN 37814-8215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN0000031917 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235862483
Raven J. McCarroll, APRN's National Provider Identifier is 1235862483, issued on Jul 6, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jefferson City, TN. The record was last updated on Jun 18, 2026.