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NPI Code Detail

MEDICARE: JEANNETTE CARTER

MEDICARE:   JEANNETTE  CARTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker

General Provider Information

NPI Number : 1073329363
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNETTE CARTER
Provider Business Mailing Address
First Line : 2930 INDIANOLA DR
Second Line :
City : TOLEDO
State : OH
Zip : 43614-5210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2930 INDIANOLA DR
Second Line :
City : TOLEDO
State : OH
Zip : 43614-5210
Country : US
Telephone Number : 419-283-4320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2024
Last Update Date : 05/28/2025

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Directions to “ JEANNETTE CARTER ” Practice Location

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