person
Jillian Carter
Family Nurse Practitioner in Cedar Lake, Indiana
NPI 1073935813

Jillian Carter is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Jillian Carter practices in Cedar Lake, IN. The NPI Number for Jillian Carter is 1073935813 and holds a License No. 71004755A (Indiana).

The current practice location address for Jillian Carter is 6831 W 133Rd Ave, Cedar Lake, IN and can be reached out via phone at 219-374-5970 and via fax at 219-374-7505. You can also correspond with Jillian Carter through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 6831 W 133Rd Ave, Cedar Lake, IN, 48278-1076
person
Provider Profile Details
NPI Number
1073935813
Provider Name
Jillian Carter
Credential
Provider Entity Type
Individual
Gender
Female
Address
6831 W 133Rd Ave, Cedar Lake, IN, 48278-1076
Phone Number
219-374-5970
Fax Number
219-374-7505
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201209790 05 IN
institution
Provider Business Practice Location Address Details
Address
6831 W 133Rd Ave
City
State
Zip
46303-8989
Phone Number
219-374-5970
Fax Number
219-374-7505
person
Provider Business Mailing Address Details
Address
Po Box 781076
City
State
Zip
48278-1076
Phone Number
317-528-4800
Fax Number
317-865-1479
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71004755A (Indiana)
Definition
Definition to come...
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