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NPI Code Detail

MEDICARE: DR. LATONYA JANETT CARROLL DNP, APRN.CNP

MEDICARE: DR. LATONYA JANETT CARROLL DNP, APRN.CNP
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
1363LF0000XFamily Nurse Practitioner104979WV
2363LF0000XFamily Nurse Practitioner344401NY
3363LF0000XFamily Nurse Practitioner5573MN
4363LF0000XFamily Nurse Practitioner820843NV
5363LF0000XFamily Nurse Practitioner081831-23NH
6363LF0000XFamily Nurse PractitionerAPRN9398617FL
7363LF0000XFamily Nurse PractitionerAPRN02420RI
8363LF0000XFamily Nurse PractitionerC-APN.0002166-C-NPCO
9363LF0000XFamily Nurse Practitioner13287OH
10363LF0000XFamily Nurse PractitionerCNP171188ME
11363LF0000XFamily Nurse Practitioner0024178144VA
12363LF0000XFamily Nurse Practitioner2777000957IL
13363LF0000XFamily Nurse PractitionerA159261IA
14363LF0000XFamily Nurse PractitionerAPN.30507SC
15363LF0000XFamily Nurse Practitioner8581CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700056033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LATONYA JANETT CARROLL DNP, APRN.CNP
Provider Business Mailing Address
First Line : 1391 W 5TH AVE # 241
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-2902
Country : US
Telephone Number : 877-318-0934
Fax Number : 888-831-0965
Provider Business Practice Location Address
First Line : 655 N CASSADY AVE STE 7
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-2720
Country : US
Telephone Number : 410-569-8940
Fax Number : 614-375-4130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2008
Last Update Date : 10/25/2025

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