# JUDY ANN CARPENTER

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

## Provider details

- **NPI number:** 1700302304
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 217779 | OK | Yes |
| 363LF0000X | Family Nurse Practitioner | 53-78421 | KS | — |

## Other

- **Enumeration date:** 08/16/2017
- **Last updated:** 03/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200806790A | — | OK |