Individual
JON BRENT CARIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMH-NP
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(800) 232-0510
(413) 733-6457
Mailing address
219 ROMA DR, LEWISVILLE, TX 75067-4191
(817) 647-5455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP134530
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP134530
APRN LICENSE
TX
Enumeration date
07/23/2017
Last updated
06/11/2019
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