National Provider Identifier
Jenna Hayden Carroll, PMHNP
Jenna Hayden Carroll, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Olean, NY and a listed phone number of (716) 257-1254.
Profile Overview
- NPI
- 1528726155
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- December 01, 2021
- Last Updated
- June 19, 2024
Practice Location
- 901 Wayne St
- Olean, NY 14760-2255
Phone: (716) 257-1254
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
- NPI
- 1528726155
- Entity Type
- Individual
- Last Name
- Carroll
- First Name
- Jenna
- Middle Name
- Hayden
- Name Prefix
- MS.
- Credential
- PMHNP
- Mailing Street Address
- 901 Wayne St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-2255
- Mailing Country
- US
- Mailing Phone
- (716) 257-1254
- Mailing Fax
- (716) 215-6170
- Practice Street Address
- 901 Wayne St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-2255
- Practice Country
- US
- Practice Phone
- (716) 257-1254
- Practice Fax
- (716) 215-6170
- Enumeration Date
- December 01, 2021
- Last Updated
- June 19, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Psychiatric/Mental Health Registered Nurse (163WP0808X)