Provider Demographics
NPI:1538635693
Name:CARTER, SHEMIKA D (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:SHEMIKA
Middle Name:D
Last Name:CARTER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20709 GOLDEN SPRINGS DR STE 106
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3847
Mailing Address - Country:US
Mailing Address - Phone:844-938-2828
Mailing Address - Fax:866-473-3822
Practice Address - Street 1:20709 GOLDEN SPRINGS DR STE 106
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-3847
Practice Address - Country:US
Practice Address - Phone:844-938-2828
Practice Address - Fax:866-473-3822
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011052363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care