Provider Demographics
NPI:1710533088
Name:MORRISON, CAROLINE STROUP (APRN)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:STROUP
Last Name:MORRISON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:PAGE
Other - Last Name:STROUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:870 JAMESTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-2877
Mailing Address - Country:US
Mailing Address - Phone:859-583-6427
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS WAY # 512-17
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-1006
Practice Address - Fax:501-364-3930
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA006003363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty