Individual
JAMIE D CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 E HERMOSA VISTA DR, MESA, AZ 85213-1702
(480) 472-2798
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN143878
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9876543210
—
AZ
Enumeration date
09/24/2019
Last updated
09/24/2019
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