Provider Demographics
NPI:1548729940
Name:CARTER, JA'MESHA (CNA)
Entity type:Individual
Prefix:
First Name:JA'MESHA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 MARCUS DR APT 2
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-7232
Mailing Address - Country:US
Mailing Address - Phone:757-782-1921
Mailing Address - Fax:
Practice Address - Street 1:960 MARCUS DR APT 2
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-7232
Practice Address - Country:US
Practice Address - Phone:757-782-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide