Carolyn Wong
Nurse Practitioner - Neonatal
4064 Sidlehill Dr
Olive Branch
, Mississippi 38654-6146
Carolyn Wong
Nurse Practitioner - Neonatal
4064 Sidlehill Dr
Olive Branch
, Mississippi 38654-6146
(601) 842-9006
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Carolyn Wong
- 4064 Sidlehill Drive
- Olive Branch, MS
- Zip : 38654
- Phone : (601) 842-9006
Second Address
- Carolyn Wong
- 4064 Sidlehill Dr
- Olive Branch, MS
- Zip : 38654-6146
- Phone : (601) 842-9006
Reviews
FAQs
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What type of doctor is Carolyn Wong
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Does Carolyn Wong have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 18194 | TN |
| N | 363LN0000X | Nurse Practitioner - Neonatal | R883470 | MS |
National Provider Identifier
| NPI | 1023432549 |
|---|---|
| Provider Name | Carolyn Wong |
| First Address | Olive Branch, MS 38654 |
| Second Address | Olive Branch, MS 38654-6146 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2014 |
| Last Update Date | 12/03/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.