Individual
ALICE PHARIES CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
40 GROOVER LOOP STE 200, ST AUGUSTINE, FL 32086-6569
(904) 398-7205
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11004640
FL
363LA2100X
Acute Care Nurse Practitioner
11004640
FL
363LG0600X
Gerontology Nurse Practitioner
11004640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104875500
—
FL
Enumeration date
11/06/2019
Last updated
11/14/2024
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