Provider Demographics
NPI:1255780433
Name:CARROLL, MERRI LYNN (MSN,FNP-C)
Entity type:Individual
Prefix:
First Name:MERRI
Middle Name:LYNN
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MSN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 HIGHWAY 22 W
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-4413
Mailing Address - Country:US
Mailing Address - Phone:256-215-5323
Mailing Address - Fax:256-215-5324
Practice Address - Street 1:868 N DEAN RD STE C
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-9423
Practice Address - Country:US
Practice Address - Phone:334-209-2550
Practice Address - Fax:334-209-2554
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-056781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily