Provider Demographics
NPI:1396838942
Name:CARTER, JANET ELLIS (RN, MSN, CS)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ELLIS
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN, MSN, CS
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:CAROL
Other - Last Name:ELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,MSN,CS
Mailing Address - Street 1:1228 PENNYROYAL CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-4113
Mailing Address - Country:US
Mailing Address - Phone:330-722-3835
Mailing Address - Fax:330-723-7376
Practice Address - Street 1:3690 ORANGE PLACE SUITE 220
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-831-1494
Practice Address - Fax:216-831-9931
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH091475163WP0808X
OHNS-03256163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult