Provider Demographics
NPI:1821299892
Name:CARRION, LAUREL (APRN)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:CARRION
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:
Other - Last Name:PERRIGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:301 WOLVERINE TRL
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5656
Mailing Address - Country:US
Mailing Address - Phone:615-459-6700
Mailing Address - Fax:
Practice Address - Street 1:301 WOLVERINE TRL STE 100
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5656
Practice Address - Country:US
Practice Address - Phone:615-459-6700
Practice Address - Fax:615-459-0068
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN08474363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily