| Doctor Name: | CAROL TIMMONS |
| NPI Number: | 1689666778 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 092882 |
| Business Practice Address: | 101 N Center St Clarence, MO - 634371701 |
| Business Phone Number: | 6606992240 |
| Business Fax Number: | 6606992243 |
| Mailing Address: | 210 S Shelby St, CLARENCE |
| State: | MO |
| Postal Code: | 634372105 |
| Phone Number: | 6606517350 |
| Fax Number: | 6606992243 |
| NPI Enumeration Date: | 08/16/2005 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 092882 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |