Provider Demographics
NPI:1740932250
Name:JONES CARTER, BLENDA A (RN)
Entity type:Individual
Prefix:
First Name:BLENDA
Middle Name:A
Last Name:JONES CARTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 SE JEREMY PL
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-3901
Mailing Address - Country:US
Mailing Address - Phone:386-438-4488
Mailing Address - Fax:
Practice Address - Street 1:219 SE JEREMY PL
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-3901
Practice Address - Country:US
Practice Address - Phone:386-438-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-25
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9452947163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical