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Individual

JACQUELINE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
303360
LA
2084N0400X
Neurology Physician
49071
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09871341
MS
05
2430947
LA
05
34837200
WI
Enumeration date
06/06/2006
Last updated
09/10/2025
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