person
Clark Carroll, APNP
Psychiatric/Mental Health Nurse Practitioner in Janesville, Wisconsin
NPI 1962773648

Clark Carroll is a Psychiatric/Mental Health Nurse Practitioner based in Janesville, WI and is specialized in Psychiatric/Mental Health. Clark Carroll practices in Janesville, WI and has the professional credentials of APNP. The NPI Number for Clark Carroll is 1962773648 and holds a License No. 7914 (Wisconsin).

The current practice location address for Clark Carroll is 1820 Center Ave Ste 170, Janesville, WI and can be reached out via phone at 608-755-1475 and via fax at 608-755-1733.

Location: 1820 Center Ave Ste 170, Janesville, WI, 53546-9091
person
Provider Profile Details
NPI Number
1962773648
Provider Name
Clark Carroll
Credential
APNP
Provider Entity Type
Individual
Gender
Male
Address
1820 Center Ave Ste 170, Janesville, WI, 53546-9091
Phone Number
608-755-1475
Fax Number
608-755-1733
Provider Enumeration Date
01/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962773648 05 WI
institution
Provider Business Practice Location Address Details
Address
1820 Center Ave Ste 170
City
State
Zip
53546-2878
Phone Number
608-755-1475
Fax Number
608-755-1733
person
Provider Business Mailing Address Details
Address
1820 Center Ave Ste 170
City
State
Zip
53546-2878
Phone Number
608-755-1475
Fax Number
608-755-1733
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
7914 (Wisconsin)
Definition
Definition to come...
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