Provider Demographics
NPI:1609652122
Name:CARTER, BILLIE JEAN (FNP)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:JEAN
Last Name:CARTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WHITEHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:POQUOSON
Mailing Address - State:VA
Mailing Address - Zip Code:23662-1618
Mailing Address - Country:US
Mailing Address - Phone:804-512-0818
Mailing Address - Fax:
Practice Address - Street 1:10 WHITEHOUSE CIR
Practice Address - Street 2:
Practice Address - City:POQUOSON
Practice Address - State:VA
Practice Address - Zip Code:23662-1618
Practice Address - Country:US
Practice Address - Phone:804-512-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187344207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine