IndividualActive
Carolyn Wong
NPI 1023432549 · Neonatal Nurse Practitioner · Olive Branch, MS
Provider details
- NPI number
- 1023432549
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R883470 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4064 Sidlehill Dr
Olive Branch, MS 38654-6146
Phone: (601) 842-9006
Street-level locationGet directions
Mailing address
4064 Sidlehill Drive
Olive Branch, MS 38654
Registry dates
- Enumerated
- 2014-02-05
- Last updated
- 2014-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.