Provider Demographics
NPI:1427398197
Name:CARROLL, AIMEE MELISSA (PNP, RN)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:MELISSA
Last Name:CARROLL
Suffix:
Gender:F
Credentials:PNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11465 MEARS DR
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-9819
Mailing Address - Country:US
Mailing Address - Phone:317-340-8949
Mailing Address - Fax:
Practice Address - Street 1:11465 MEARS DR
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-9819
Practice Address - Country:US
Practice Address - Phone:317-340-8949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-18
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28159292A363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics