Carter, Jeanette

Carter, Jeanette is an individual health care provider with primary practice located at 1839 S El Dorado St , Stockton CA 95206-2025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Carter, Jeanette can be contacted via phone (209) 463-0872.

Contact Information

Primary practice address
1839 S El Dorado St Stockton CA 95206-2025
Phone: (209) 463-0872
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN 494052 California

Profile Details

NPI number 1740480342
LBN Legal business name Carter, Jeanette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jun 5th, 2023 - about last year

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 1740480342 NPPES
California Other 1104982495 MEDI-CAL
California Other 1114083771 MEDI-CAL
California Other NP7506 MEDI-CAL
California Other 1659436095 MEDI-CAL

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