Individual
MRS. CHINIQUA L CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1400 WSW LOOP 323 STE 60, TYLER, TX 75701-7059
(903) 526-4875
(903) 526-4876
Mailing address
8217 ROSEWOOD AVE, CLEVELAND, OH 44105-6633
(216) 376-1002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1018695
TX
363LF0000X
Family Nurse Practitioner
Primary
1018695
TX
Other
Enumeration date
11/06/2023
Last updated
09/20/2024
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