Individual
ERIN RAE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720A MEDICAL PARK DR STE 220, BILOXI, MS 39532-2127
(228) 230-2663
(228) 546-3257
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 546-3257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905424
MS
Other
Enumeration date
09/14/2022
Last updated
11/01/2023
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