# KATHRENE RENEE CARTER

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

## Provider details

- **NPI number:** 1720337264
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 17982 | SC | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 25149 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5014214 | NC | — |

## Other

- **Enumeration date:** 08/30/2012
- **Last updated:** 03/26/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4350 | MEDICARE PART B GROUP \# | SC |
| 05 | — | CBP018 | — | SC |
| 05 | — | FQC031 | — | SC |