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NPI Code Detail

MEDICARE: KRISTYN CARTER APRN

MEDICARE: KRISTYN CARTER APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11042663FL

General Provider Information

NPI Number : 1386518769
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTYN CARTER APRN
Provider Business Mailing Address
First Line : 13050 MUD LAKE RD
Second Line :
City : GLEN ST MARY
State : FL
Zip : 32040-5456
Country : US
Telephone Number : 904-305-2926
Fax Number :
Provider Business Practice Location Address
First Line : 155 N 3RD ST
Second Line :
City : MACCLENNY
State : FL
Zip : 32063-2103
Country : US
Telephone Number : 904-653-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2025
Last Update Date : 06/18/2026

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