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Contact Information

CLARICE CARROLL, CNM
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-5373
 Fax: 601-984-5476
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for CLARICE CARROLL · (Female)

NPI # 1952407579
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 09/15/2006
Last updated 03/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R525359
  • MS Medicaid 09986883
  • MS Other 08103071 UP MEDICAID GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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