Provider Demographics
NPI:1841061058
Name:CARTER, JOANNE ALLISON (APRN)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:ALLISON
Last Name:CARTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 GOLD SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-6333
Mailing Address - Country:US
Mailing Address - Phone:904-622-6049
Mailing Address - Fax:
Practice Address - Street 1:1120 WELLSTAR WAY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-9101
Practice Address - Country:US
Practice Address - Phone:470-267-0230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN328232363LF0000X
FLRN9282048163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology