Provider Demographics
NPI:1891447884
Name:CARRIER, CHERYL ENDERBY (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ENDERBY
Last Name:CARRIER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10984 HAWAII DR S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-8839
Mailing Address - Country:US
Mailing Address - Phone:904-476-1162
Mailing Address - Fax:
Practice Address - Street 1:10984 HAWAII DR S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-8839
Practice Address - Country:US
Practice Address - Phone:904-476-1162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9525899163W00000X
FL2021035595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse