| NPI | 1932375391 |
|---|---|
| Former Name | JENELLE K CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1009) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001008A) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2018-04-11 |