Provider Demographics
NPI:1568792885
Name:DOOLITTLE, CAROL CASHION (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:CASHION
Last Name:DOOLITTLE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 SOUTH COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703
Mailing Address - Country:US
Mailing Address - Phone:662-390-8992
Mailing Address - Fax:662-335-7933
Practice Address - Street 1:1699 SOUTH COLORADO ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703
Practice Address - Country:US
Practice Address - Phone:662-390-8992
Practice Address - Fax:662-335-7933
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR862195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSPENDINGMedicaid
MS01533818Medicaid
MS01533818Medicaid
MSPENDINGMedicaid