Provider Demographics
NPI:1508630765
Name:SCARBOROUGH, CAROLINE CRAPPS (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:CRAPPS
Last Name:SCARBOROUGH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:WHIGHAM
Mailing Address - State:GA
Mailing Address - Zip Code:39897-0277
Mailing Address - Country:US
Mailing Address - Phone:229-224-7275
Mailing Address - Fax:
Practice Address - Street 1:153 PINEWOOD RD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-4152
Practice Address - Country:US
Practice Address - Phone:229-759-3059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN207392363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily