MEDICARE: JANICE. CARPENTER

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1669235065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE. CARPENTER

Provider Business Mailing Address
First Line	:	2614 CIMARRON DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2250
Country	:	US
Telephone Number	:	304-561-8225
Fax Number	:

Provider Business Practice Location Address
First Line	:	2605 CASA DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2235
Country	:	US
Telephone Number	:	304-550-8040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2024
Last Update Date	:	01/30/2024

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Directions to “ JANICE. CARPENTER ” Practice Location

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