Individual provider · Type 1 NPI
Jazmyn Carpenter
Gerontology Nurse Practitioner · Jonesboro, GA
NPI number
1255296349
Active
Practice location
9157 Tara Blvd
Jonesboro, GA 30236-4912
Mailing address
845 Saint Clair St
Jacksonville, FL 32254-3133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | GAA-NP004124 (GA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1255296349
Jazmyn Carpenter's National Provider Identifier is 1255296349, issued on Dec 19, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jonesboro, GA. The record was last updated on Dec 19, 2025.