NPI 1952407579

Clarice Carroll, CNM

Practitioner Advanced Practice Midwife Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-5373
Fax: (601) 984-5476

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence R525359 (MS)

Other Advanced Practice Midwife providers in Mississippi →

Registry record

NPI: 1952407579
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2006
Record last updated: 3 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.