Carpenter, Jamie L

Carpenter, Jamie L is an individual health care provider with primary practice located at 7145 Goodman Rd , Olive Branch MS 38654-1904. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carpenter, Jamie L can be contacted via phone (662) 333-5001.

Contact Information

Primary practice address
7145 Goodman Rd Olive Branch MS 38654-1904
Phone: (662) 333-5001
Fax: (662) 420-7063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 163971 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19660 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 902936 Mississippi

Profile Details

NPI number 1114318987
LBN Legal business name Carpenter, Jamie L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2015
Last updated Dec 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114318987 NPPES
Mississippi MEDICAID 02374577

Popular Providers