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Contact Information

AMANDA CARTER, FNP-C
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for AMANDA CARTER · (Female)

NPI # 1215525399
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/05/2021
Last updated 02/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 891948
  • MS License # 904355
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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