Individual
EBONY DOMINAQUE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.413108
OH
164W00000X
Licensed Practical Nurse
PN138244
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0027466
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0027466
OH
Other
Enumeration date
01/16/2014
Last updated
02/10/2026
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