Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnetta Ra'Shawn Carroll

Individual provider Gerontology Nurse Practitioner · NPI 1407708100

Johnetta Ra'Shawn Carroll is a Gerontology Nurse Practitioner in Headland, Alabama. Licensed in Alabama. Registered with an NPI since 2026.

Licensed in
AL
In the registry since
2026
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Practice location Address checks out

208 Carr Cir
Headland, AL 36345-1906
Phone: (334) 718-2444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1-177842 (AL)

Record details

NPI number1407708100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

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