Provider Demographics
NPI:1295600682
Name:CARPENTER, JAMES DARRIN
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DARRIN
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5693 N STATE ROUTE 376 NW
Mailing Address - Street 2:
Mailing Address - City:MCCONNELSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43756-9525
Mailing Address - Country:US
Mailing Address - Phone:740-590-4763
Mailing Address - Fax:
Practice Address - Street 1:5693 N STATE ROUTE 376 NW
Practice Address - Street 2:
Practice Address - City:MCCONNELSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43756-9525
Practice Address - Country:US
Practice Address - Phone:740-590-4763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker