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Individual

MISS JESSA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(352) 267-1214
Mailing address
777 BRICKELL AVE APT 500-9722, MIAMI, FL 33131-2809
(352) 267-1214

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9106220
FL
363AS0400X
Surgical Physician Assistant
Primary
4733
CT

Other

Enumeration date
10/19/2011
Last updated
06/23/2020
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