Provider Demographics
NPI:1124193529
Name:DOLLAR, CAROLYN B (APRN BC, FNP)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:B
Last Name:DOLLAR
Suffix:
Gender:F
Credentials:APRN BC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 BENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120
Mailing Address - Country:US
Mailing Address - Phone:601-446-5315
Mailing Address - Fax:
Practice Address - Street 1:37 BENBROOK
Practice Address - Street 2:1495-A US HIGHWAY 61 SOUTH, WOODVILLE, MS 39669
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120
Practice Address - Country:US
Practice Address - Phone:601-446-5315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS6460013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00118493Medicaid
MS591043Medicare UPIN
MS500000648Medicare ID - Type UnspecifiedMEDICARE ID NUMBER