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Individual
JESSICA NICOLE CARTER
Active
Individual
JESSICA NICOLE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000043183
TN
183500000X
Pharmacist
018523
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000043183
TENNESSEE BOARD OF PHARMACY
TN
01
—
081523
KENTUCKY BOARD OF PHARMACY
KY
Enumeration date
06/27/2019
Last updated
06/27/2019
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