MEDICARE: DR. CAROLINE CAFFERY MCCARROLL DNP, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP143479	TX

General Provider Information

NPI Number	:	1316589393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE CAFFERY MCCARROLL DNP, FNP

Provider Business Mailing Address
First Line	:	8345 WALNUT HILL LANE SUITE 120
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-1027
Country	:	US
Telephone Number	:	214-363-1073
Fax Number	:

Provider Business Practice Location Address
First Line	:	8345 WALNUT HILL LN STE 120
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4214
Country	:	US
Telephone Number	:	504-494-4759
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2019
Last Update Date	:	06/07/2021

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