Abbigail F Carroll, LPN
Individual provider Active NPI Licensed Practical Nurse · Watertown, NY
NPI 1013636596 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1013636596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 344468 (NY)
- Practice address
- 211 JB Wise PL
Watertown, NY 13601-2507 - Phone
- (315) 782-7445
- Fax
- (315) 779-1184
- NPI assigned
- Aug 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344468 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home of Jefferson County | Current |
Accepting new patients | |
| Children'S Home of Jefferson County | Current |
Accepting new patients |
Locations
211 Jb Wise Pl
Watertown, NY 13601
Phone (315) 788-7430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 344468 | NY | Yes |
Addresses
Primary practice location
211 JB Wise PL
Watertown, NY 13601-2507
Mailing address
PO Box 6550
Watertown, NY 13601-6550
Phone (315) 782-7445
Other providers in Watertown, NY
- Cani PT OT SLP & Psychology PLLC
- Requisha Champagne Cannon
- Jacqueline Lee Capone
- Carl Petitto OT PLLC
- Sue A Carley-Graves
- Susan M Carroll
- Kristen Castana
- Anna Castilleja
- Maegan Castle
- Mary Catherine Castor
All providers in Watertown, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.