Individual
JILL MARIE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0130
Mailing address
519 LATHAM DR, LOWELL, AR 72745, LOWELL, AR 72745-8360
(479) 750-0130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RTP-017465, R09930
AR
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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