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Individual
JEANETTE CARTER
Active
Individual
JEANETTE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 494052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104982495
MEDI-CAL
CA
01
—
1114083771
MEDI-CAL
CA
01
—
1659436095
MEDI-CAL
CA
01
—
NP7506
NURSE PRACTITIONER LICENS
CA
Enumeration date
07/20/2007
Last updated
06/05/2023
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