Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | ARNP9272860 | FL |
NPI | 1033538707 |
---|---|
Provider Name | Jacqueline Carter |
First Address | Plantation, FL 33322-5426 |
Second Address | Plantation, FL 33322-5426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 13/11/2017 |