| Doctor Name: | JACQUELINE L CARTER |
| NPI Number: | 1952560708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | CNP81905 |
| Business Practice Address: | 200 Somerset St Suite 3 Millinocket, ME - 044621258 |
| Business Phone Number: | 2077235173 |
| Business Fax Number: | 2077233040 |
| Mailing Address: | 200 Somerset St, Suite 3 MILLINOCKET |
| State: | ME |
| Postal Code: | 044621258 |
| Phone Number: | 2077235173 |
| Fax Number: | 2077233040 |
| NPI Enumeration Date: | 06/06/2008 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP81905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |