Provider Demographics
NPI:1972199966
Name:CARTER, CHRISTINA ROCHELLE (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ROCHELLE
Last Name:CARTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 EDINBURGH LN
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-1091
Mailing Address - Country:US
Mailing Address - Phone:757-802-0228
Mailing Address - Fax:
Practice Address - Street 1:13 EDINBURGH LN
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-1091
Practice Address - Country:US
Practice Address - Phone:757-802-0228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAAG09200220207QG0300X
VA0024180825363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine