Individual
CORETTA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3166 S STATE HIGHWAY 161 STE 170, GRAND PRAIRIE, TX 75052-7720
(972) 640-0005
(210) 314-5044
Mailing address
1621 W PEACE ST, CANTON, MS 39046-9041
(601) 391-2716
(601) 391-2717
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1092111
TX
Other
Enumeration date
10/10/2021
Last updated
09/08/2022
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