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NPI Code Detail

MEDICARE: ALLI CARTER

MEDICARE:   ALLI  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
1363L00000XNurse PractitionerTBDLA

General Provider Information

NPI Number : 1447047667
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLI CARTER
Provider Business Mailing Address
First Line : 38596 MADDY LN
Second Line :
City : PONCHATOULA
State : LA
Zip : 70454-5083
Country : US
Telephone Number : 504-495-0267
Fax Number :
Provider Business Practice Location Address
First Line : 5025 KEYSTONE BLVD
Second Line :
City : COVINGTON
State : LA
Zip : 70433-7525
Country : US
Telephone Number : 985-317-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2025
Last Update Date : 04/22/2025

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Directions to “ ALLI CARTER ” Practice Location

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