CAROLYN WONG NPI 1023432549

NPI Information

NPI: 1023432549
Provider Name: CAROLYN WONG
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
4064 SIDLEHILL DR
OLIVE BRANCH, MS
ZIP 38654
Phone: (601) 842-9006
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Carolyn Wong is a neonatal nurse practitioner in Olive Branch, MS. Carolyn Wong NPI is 1023432549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4064 SIDLEHILL DR
OLIVE BRANCH, MS
ZIP 38654-146
Phone: (601) 842-9006

The enumeration date for this NPI number is 2/5/2014 and was last updated on 3/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	R883470	MISSISSIPPI	No
2	363LN0000X	Nurse Practitioner	Neonatal	18194	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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