Provider Demographics
NPI:1275205551
Name:MCCARROLL, ERIN PAIGE (NP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:PAIGE
Last Name:MCCARROLL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ERIN-PAIGE
Other - Middle Name:
Other - Last Name:MCCARROLL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:425 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2982
Mailing Address - Country:US
Mailing Address - Phone:615-452-0035
Mailing Address - Fax:
Practice Address - Street 1:425 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2982
Practice Address - Country:US
Practice Address - Phone:615-452-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30090363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner