Individual
MRS. JEANETTE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4148
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027359
OH
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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