Carter, Jamie D

Carter, Jamie D is an individual health care provider with primary practice located at 3250 E Hermosa Vista Dr , Mesa AZ 85213-1702. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Carter, Jamie D can be contacted via phone (480) 472-2798.

Contact Information

Primary practice address
3250 E Hermosa Vista Dr Mesa AZ 85213-1702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN143878 Arizona

Profile Details

NPI number 1134770910
LBN Legal business name Carter, Jamie D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2019
Last updated Sep 24th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134770910 NPPES
Arizona MEDICAID 9876543210

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