Individual
JACQUELINE M CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5544
(775) 688-0408
(775) 688-3306
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5544
(775) 688-0408
(775) 688-3306
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
55981
NV
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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