Individual provider · NPI-1

Vicki Jo Carrier, BSN,MSN,CRNFA,ARNP

Nurse Practitioner, Family · Enola, PA

NPI number1063616159

StatusActive

Last updated in NPPESNov 22, 2021

Details

NPI: 1063616159
Entity type: Individual (NPI-1)
Name: Vicki Jo Carrier
Credential: BSN,MSN,CRNFA,ARNP
Sex: Female
Sole proprietor: Yes
Enumeration date: Jun 12, 2007
Certification date: Nov 22, 2021
Last updated: Nov 22, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	SP022218	PA	Yes
163WR0006X	Registered Nurse, Registered Nurse First Assistant	1888442	FL
363LF0000X	Nurse Practitioner, Family	ARNP1888442	FL

Practice location

1830 Good Hope Rd
Enola, PA 17025-1233

Phone 717-652-9555 · Fax 717-791-2621

Mailing address

1830 Good Hope Rd
Enola, PA 17025-1233

Phone 717-652-9555 · Fax 717-791-2621

Other practice locations

105 Half Moon Cir
#a-1
Lantana, FL 33462-5487

Phone 561-585-7106

4310 Londonderry Rd Ste 1b
Harrisburg, PA 17109-5300

Phone 717-735-1972

144 S 8th St Ste 107
Chambersburg, PA 17201-2752

Phone 717-414-7798 · Fax 717-414-7942

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.