MEDICARE: APRIL CARTER FNP-C

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	363LS0200X	School Nurse Practitioner	902295	MS
2	363LF0000X	Family Nurse Practitioner	902295	MS

General Provider Information

NPI Number	:	1790295400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL CARTER FNP-C

Provider Business Mailing Address
First Line	:	291 COLEMAN RD
Second Line	:
City	:	BRANDON
State	:	MS
Zip	:	39042-9528
Country	:	US
Telephone Number	:	601-503-4213
Fax Number	:

Provider Business Practice Location Address
First Line	:	2941 TERRY RD
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-3073
Country	:	US
Telephone Number	:	601-373-0566
Fax Number	:

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

Provider Enumeration Date	:	10/07/2017
Last Update Date	:	10/07/2017

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Directions to “ APRIL CARTER FNP-C” Practice Location

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