CAROLYN WONG (NPI# 1023432549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023432549 |
| Entity Type | Individual |
| Full Name | CAROLYN WONG |
| Practice Address |
4064 Sidlehill Dr Olive Branch MS 38654-6146 |
| Mailing Address |
4064 Sidlehill Drive Olive Branch MS 38654 |
| Practice Telephone | 6018429006 |
| Mailing Telephone | 6018429006 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
18194 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R883470 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316203235 | Carolyn Hayes Wong | Emergency Medicine | 622 W 168th St Ste 260, New York, NY 10032-3720 | 2012-04-04 |
| 1952937880 | Carolyn Wong | Student in an Organized Health Care Education/Training Program | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-03-23 |
| 1063998144 | Carolyn Lee Wong | Marriage & Family Therapist | 1447 W Beverly Blvd, Montebello, CA 90640-4154 | 2018-07-12 |
| 1669621330 | Carolyn K Wong | Physical Therapist | 110 Haverhill Rd, Suite 401, Amesbury, MA 01913-2123 | 2008-09-17 |
| 1629265095 | Carolyn Wong | Podiatrist | 3616 E 1st St, Los Angeles, CA 90063-2326 | 2007-10-01 |
| 1306971429 | Carolyn Marie Wong | Optometrist | 11540 Santa Monica Blvd, Suite 202, Los Angeles, CA 90025-7905 | 2007-02-22 |
| 1033105671 | Carolyn Marie Wong | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2005-09-20 |
| Street Address |
4064 SIDLEHILL DR |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-6146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689846644 | Sheila Louise Morgan | Nurse Practitioner | 1730c 14th St, Meridian, MS 39301-4140 | 2008-03-31 |
| 1508069535 | Dancy A. Watson | Nurse Practitioner | 1730 14th St Ste C, Meridian, MS 39301-4140 | 2007-06-07 |
| 1073533782 | Tiffany Allison Bowen | Nurse Practitioner | 321 E Fifteenth St, Yazoo City, MS 39194-2631 | 2006-07-19 |
| 1538196936 | Marcy S Clarke | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2006-06-28 |
| 1679109458 | Kari Anna Adams | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2020-03-12 |
| 1053950733 | Elizabeth Wright Harvey | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-12-30 |
| 1720598899 | Lisa M. Smith | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-03 |
| 1770093841 | Emily Ann Jones | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-03 |
| 1972013159 | Victoria Mitchell | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-02 |
| 1811435175 | Kelly L Waldrop | Nurse Practitioner | 5 River Bend Pl, Suite C, Flowood, MS 39232-7618 | 2017-02-07 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on CAROLYN WONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.