Individual
SHEENA MOORE-CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 504-4040
Mailing address
183 PROVONCE PARK, BRANDON, MS 39042-5009
(601) 504-4040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907031
MS
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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