Provider Demographics
NPI:1154219087
Name:CARTER, MEGAN KENNELLY (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:KENNELLY
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:KENNELLY
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:946 TATUM RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-2522
Mailing Address - Country:US
Mailing Address - Phone:901-591-6159
Mailing Address - Fax:
Practice Address - Street 1:946 TATUM RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-2522
Practice Address - Country:US
Practice Address - Phone:901-591-6159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000212029163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant