Healthcare Provider Details

I. General information

NPI: 1851458129
Provider Name (Legal Business Name): JASON A CARTER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 01/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 JAMES ROBERTSON PKWY FL 11 DIVISION OF CLINICAL LEADERSHIP
NASHVILLE TN
37243-0001
US

IV. Provider business mailing address

710 JAMES ROBERTSON PKWY FL 11 DIVISION OF CLINICAL LEADERSHIP
NASHVILLE TN
37243-0001
US

V. Phone/Fax

Practice location:
  • Phone: 615-532-6736
  • Fax:
Mailing address:
  • Phone: 615-532-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number9446
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: