Provider Demographics
NPI:1780408518
Name:MOLYNEUX, CAROLINE GRACE (FNP-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:GRACE
Last Name:MOLYNEUX
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 1:208 MOHAWK ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4408
Mailing Address - Country:US
Mailing Address - Phone:251-533-8284
Mailing Address - Fax:
Practice Address - Street 1:22259A PALMER ST
Practice Address - Street 2:
Practice Address - City:ROBERTSDALE
Practice Address - State:AL
Practice Address - Zip Code:36567-3067
Practice Address - Country:US
Practice Address - Phone:251-970-4075
Practice Address - Fax:251-970-4074
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1175031363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily