Individual provider · Type 1 NPI

Shane Marie Carter, FNP-BC

Family Nurse Practitioner · Tupelo, MS

NPI number 1801765250 Active

Practice location

830 S Gloster St
Tupelo, MS 38801-4934

Call (662) 377-6609 Map

Fax (662) 377-6614

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	907920 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1801765250

Shane Marie Carter, FNP-BC's National Provider Identifier is 1801765250, issued on Nov 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tupelo, MS. The record was last updated on Jan 7, 2026.