Healthcare Provider Details

I. General information

NPI: 1356021893
Provider Name (Legal Business Name): LEXI LISA CARTER DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEXI LISA SIMPSON

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SHERIDAN SQ
KINGSPORT TN
37660-7390
US

IV. Provider business mailing address

3 SHERIDAN SQ
KINGSPORT TN
37660-7390
US

V. Phone/Fax

Practice location:
  • Phone: 423-392-6840
  • Fax: 423-392-6845
Mailing address:
  • Phone: 423-392-6840
  • Fax: 423-392-6845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number42407
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11031385
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: