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General NPI Number Information
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NPI Number | 1972471001
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Entity Type | Organization
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Legal Business Name | REGENIA CARTER NP & COMPANY INC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 400 MAIN ST
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City | CROSSETT
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State | AR
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Zip | 71635-2963
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Country | US
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Telephone | 501-454-5089
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Fax |
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Provider Business Mailing Address
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Address Line | 10203 WHISPERING PINE DR
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City | LITTLE ROCK
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State | AR
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Zip | 72209-7154
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Country | US
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Telephone | 501-454-5089
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REGENIA CARTER
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Credential |
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Telephone | 501-454-5089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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