Individual
JIMI E. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 652-2811
Mailing address
39238 HALF MOON CIR, MURRIETA, CA 92563-2822
(760) 445-7641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP22256
CA
363L00000X
Nurse Practitioner
RN818786
CA
Other
Enumeration date
07/10/2012
Last updated
04/19/2013
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