Individual
JARIELLE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1860 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 225-9001
Mailing address
1860 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 225-9001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN218655
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F05190005
NP CERTIFICATION NUMBER
GA
01
—
RN218655
GEORGIA STATE NP LICENSURE
GA
Enumeration date
08/06/2019
Last updated
08/06/2019
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