Individual provider · Type 1 NPI

Kristal Doub Carroll, WHNP

Nurse Practitioner · Winston Salem, NC

NPI number 1619554458 Active

Practice location

1 Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

6750 Fisher Rd
Tobaccoville, NC 27050-9746

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102XCARR-YPY06 (NC)
Nurse Practitioner Primary 363L00000X5014318 (NC)

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 1619554458

Kristal Doub Carroll, WHNP's National Provider Identifier is 1619554458, issued on Mar 26, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on May 21, 2021.