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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.

Location: 6831 W 133Rd Ave, Cedar Lake, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Cedar Lake
State
Indiana
Zip
46303-8989
Phone Number
219-374-5970
Fax Number
219-374-7505
person
Provider Business Mailing Address Details
Address
6831 W 133Rd Ave
City
Cedar Lake
State
Indiana
Zip
46303-8989
Phone Number
219-374-5970
Fax Number
219-374-7505
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71004755A (Indiana)
Definition
Definition to come...
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