Individual
JENNIFER CARTER
Active
Individual
JENNIFER CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102204063
VA
208100000X
Physical Medicine & Rehabilitation Physician
OS015857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102204063
STATE LICENSE
VA
Enumeration date
06/25/2007
Last updated
02/27/2021
Update your record
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