Jordan Carter
Nurse Practitioner, Family in Birmingham, AL. Individual provider (NPI-1).
NPI number1346804697
StatusActive
Last updated in NPPESJun 18, 2019
Details
- NPI
- 1346804697
- Entity type
- Individual (NPI-1)
- Name
- Jordan Carter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2019
- Last updated
- Jun 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-138808 | AL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
810 Saint Vincents DrBirmingham, AL 35205-1601
Phone 205-939-7000
Mailing address
3128 Spruce DrHoover, AL 35226-3611
Phone 205-516-5262
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