| NPI | 1982252821 |
|---|---|
| Former Name | MACKENZIE JO CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6758) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 6758) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2026-03-09 |