Individual
MRS. JENNIFER REBECCA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
13340 METRO PARKWAY, SUITE 200, FORT MYERS, FL 33966
(239) 343-0550
(239) 343-0559
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0550
(239) 343-4013
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9393880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013788800
—
FL
05
—
4709512
—
MI
01
—
P00258822
RAILROAD MEDICARE
MI
Enumeration date
11/07/2005
Last updated
04/01/2021
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