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Individual
MS. NICOLE D CARTER
Active
Individual
MS. NICOLE D CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209007461
ADVANCED PRACTICE NURSE LICENSE
IL
Enumeration date
02/12/2009
Last updated
01/31/2017
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