Individual
JESSICA J CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3393 S SW LOOP 323, TYLER, TX 75701-9221
(509) 388-3641
Mailing address
PO BOX 174, ANAHUAC, TX 77514-0174
(509) 388-3641
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
841608
TX
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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