Jill Marie Carter
Individual provider Active NPI Registered Nurse · Lowell, AR
NPI 1124491410 · NPPES record last updated Nov 9, 2015
Key facts
- NPI
- 1124491410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RTP-017465, R09930 (AR)
- Practice address
- 519 Latham Dr
Lowell, AR 72745-8360 - Phone
- (479) 750-0130
- NPI assigned
- Nov 9, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTP-017465, R09930 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RTP-017465, R09930 | AR | Yes |
Addresses
Primary practice location
519 Latham Dr
Lowell, AR 72745-8360
Mailing address
519 Latham Dr
Lowell, Ar 72745
Lowell, AR 72745-8360
Phone (479) 750-0130
Other providers in Lowell, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.