Provider Demographics
NPI:1316589393
Name:MCCARROLL, CAROLINE CAFFERY (DNP, FNP)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:CAFFERY
Last Name:MCCARROLL
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8345 WALNUT HILL LANE SUITE 120
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-1027
Mailing Address - Country:US
Mailing Address - Phone:214-363-1073
Mailing Address - Fax:
Practice Address - Street 1:8345 WALNUT HILL LN STE 120
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4214
Practice Address - Country:US
Practice Address - Phone:504-494-4759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily