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Contact Information

JOHNETTA R CARROLL
208 CARR CIR
HEADLAND, AL36345-1906
 Phone: 334-718-2444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JOHNETTA R CARROLL · (Female)

NPI # 1407708100
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2026
Last updated 02/13/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-177842
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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