Individual provider · Type 1 NPI
Johnetta Ra'shawn Carroll
Gerontology Nurse Practitioner · Headland, AL
NPI number
1407708100
Active
Practice location
208 Carr Cir
Headland, AL 36345-1906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1-177842 (AL) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1407708100
Johnetta Ra'shawn Carroll's National Provider Identifier is 1407708100, issued on Feb 13, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Headland, AL. The record was last updated on Feb 13, 2026.