| Doctor Name: | MRS. HEATHER CARROLL |
| NPI Number: | 1750661260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 193767 |
| Business Practice Address: | 140 Main St Prospect Hill, NC - 273149436 |
| Business Phone Number: | 3365623311 |
| Business Fax Number: | 9199339201 |
| Mailing Address: | 1613 Ed Cook Rd, DURHAM |
| State: | NC |
| Postal Code: | 277036154 |
| Phone Number: | 9194086353 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2011 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 193767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |