Individual
FELECIA D CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
971 LAKELAND DR STE 954, JACKSON, MS 39216-4609
(601) 200-4714
(601) 200-4718
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4714
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
903233
MS
363LG0600X
Gerontology Nurse Practitioner
Primary
903233
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08376251
—
MS
01
—
778354
MEDICARE
MS
Enumeration date
03/08/2019
Last updated
05/26/2025
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