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Individual
VICKI JO CARRIER
Active
Individual
VICKI JO CARRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,MSN,CRNFA,ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
1888442
FL
363LF0000X
Family Nurse Practitioner
ARNP1888442
FL
363LF0000X
Family Nurse Practitioner
Primary
SP022218
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y5248
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/12/2007
Last updated
11/22/2021
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