# JESSAMYN SUSANN CARTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285025544
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RN0300X | Nephrology Physician | 36149 | WV | — |
| 207RN0300X | Nephrology Physician | 4301509277 | MI | — |
| 2080P0210X | Pediatric Nephrology Physician | 24522 | ND | — |
| 2080P0210X | Pediatric Nephrology Physician | 36149 | WV | Yes |
| 2080P0210X | Pediatric Nephrology Physician | 4301509277 | MI | Yes |

## Other

- **Enumeration date:** 02/09/2015
- **Last updated:** 06/29/2026