Individual provider · Type 1 NPI

Staci J. Carroll

Student in an Organized Health Care Education/Training Program · Nashville, TN

NPI number 1629866066 Active

Practice location

2400 Clifton Ave
Nashville, TN 37209-4117

Mailing address

1571 Brian Ct
Murfreesboro, TN 37130-3310

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629866066

Staci J. Carroll's National Provider Identifier is 1629866066, issued on Apr 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nashville, TN. The record was last updated on Apr 26, 2025.