Provider Demographics
NPI:1295248169
Name:CAREY, JACARRA (ARNP CNM)
Entity type:Individual
Prefix:MRS
First Name:JACARRA
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:ARNP CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4003 MARINER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-2466
Mailing Address - Country:US
Mailing Address - Phone:352-263-2600
Mailing Address - Fax:352-634-2218
Practice Address - Street 1:4003 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-2466
Practice Address - Country:US
Practice Address - Phone:352-263-2600
Practice Address - Fax:325-684-2218
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9332797367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife