Individual ProviderJessica CarterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address16645 Birkdale Commons Pkwy, Ste 100, Huntersville, NC 28078-5669(704) 801-7390PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Carter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:49 AM.Profile DetailsProvider ID1609412998Provider TypeIndividualFull NameCarter, JessicaCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date11/21/2019Last Updated7/15/2024Contact InformationPractice LocationPractice Address16645 Birkdale Commons Pkwy, Ste 100, Huntersville, NC 28078-5669Phone(704) 801-7390FaxUnlisted FaxMailing LocationMailing AddressPO Box 19305, Charlotte, NC 28219-9305PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5017042North CarolinaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5017042North Carolina