Carter, Jodi

Carter, Jodi is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Allergy/Immuno/Pulmo, Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Carter, Jodi can be contacted via phone (314) 454-2694.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Allergy/Immuno/Pulmo Saint Louis MO 63110-1002
Phone: (314) 454-2694
Fax: (314) 454-2515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 136801 Missouri

Profile Details

NPI number 1679549067
LBN Legal business name Carter, Jodi
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Apr 25th, 2024 - about 8 months 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 1679549067 NPPES
Missouri MEDICAID 426036604

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