Provider Demographics
NPI:1457327793
Name:CARTER, SHEILA J (FNP-BC, CWON, CFCN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:J
Last Name:CARTER
Suffix:
Gender:F
Credentials:FNP-BC, CWON, CFCN
Other - Prefix:MS
Other - First Name:SHEILA
Other - Middle Name:J
Other - Last Name:HAYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:40 BOND CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:DENMARK
Mailing Address - State:TN
Mailing Address - Zip Code:38391-2066
Mailing Address - Country:US
Mailing Address - Phone:731-394-3499
Mailing Address - Fax:731-423-2773
Practice Address - Street 1:40 BOND CEMETERY RD
Practice Address - Street 2:
Practice Address - City:DENMARK
Practice Address - State:TN
Practice Address - Zip Code:38391-2066
Practice Address - Country:US
Practice Address - Phone:731-394-3499
Practice Address - Fax:731-423-2773
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000086880363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner