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Contact Information

REBECCA A CARROLL, FNP
21021 LACOMBE RD
WAYNESVILLE, MO65583-3107
 Phone: 904-673-5070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA A CARROLL · (Female)

NPI Number 1649142662
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/19/2025
Last updated 09/19/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2025040597
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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