Jennifer Lynne Carter, APRN
Individual provider Active NPI Family Nurse Practitioner · Alexander, AR
NPI 1497420137 · NPPES record last updated Aug 13, 2021
Key facts
- NPI
- 1497420137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 216333 (AR)
- Practice address
- 6905 Grace Village Dr
Alexander, AR 72002-8317 - Phone
- (501) 628-8623
- NPI assigned
- Aug 13, 2021
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216333 | AR | MD | Family Nurse Practitioner |
Interoperability endpoints
- jcarter@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 216333 | AR | Yes |
Addresses
Primary practice location
6905 Grace Village Dr
Alexander, AR 72002-8317
Mailing address
6905 Grace Village Dr
Alexander, AR 72002-8317
Phone (501) 628-8623
Other providers in Alexander, AR
- 1St Interventions Transport
- Preston Adami
- Jessica Nicole Allison
- Arkansas Quality Therapy Co.
- Kristie J Croom
- Lindsey Diane Dowdy
- Holly Marie Duck
- Aimee Michele Dupriest
- Elite Medical Connections, LLC
All providers in Alexander, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2021. 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.