Individual
LINDA GAIL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(601) 815-2005
Mailing address
504 CLINTON CENTER DR, CLINTON, MS 39056-5677
(601) 815-2005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
35566
TN
363L00000X
Nurse Practitioner
901616
MS
363LA2200X
Adult Health Nurse Practitioner
35566
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
901616
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008864
—
MS
05
—
Q089998
—
TN
Enumeration date
08/16/2017
Last updated
10/21/2025
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