DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN WONG

Active Sole Proprietor

CAROLYN WONG is a Neonatal Nurse Practitioner healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1023432549 is currently active in the NPPES registry. Verify at CMS.

Neonatal Nurse Practitioner · OLIVE BRANCH, MS

Registration Details

NPI Number
1023432549
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2014 (12.53755715541 yrs)
Last Updated
Mar 12, 2014
Licenses
R883470 (MS)
18194 (TN)
Sole Proprietor
Yes

Practice Information

Address
4064 SIDLEHILL DR
OLIVE BRANCH, MS, 386546146
Browse MS providers · Browse ZIP 38654
Phone
6018429006
Primary Specialty
Neonatal Nurse Practitioner
363LN0000X
Additional Specialty
Neonatal Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.