Individual
MISS LEVAN ANGELLA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN11039417
Contact information
Practice address
42 DAVIN CT, PONTE VEDRA BEACH, FL 32082-1840
(904) 833-3437
Mailing address
339 SW RIDGECREST DR, PORT SAINT LUCIE, FL 34953-5918
(305) 788-0005
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11039417
FL
Other
Enumeration date
07/23/2020
Last updated
09/27/2025
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