Provider Demographics
NPI:1871283093
Name:CARNETT, JEFFREY LOWELL (DPM)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LOWELL
Last Name:CARNETT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 JACKRABBIT TRL
Mailing Address - Street 2:STE 115 #116
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326
Mailing Address - Country:US
Mailing Address - Phone:520-686-8679
Mailing Address - Fax:
Practice Address - Street 1:805 JACKRABBIT TRL
Practice Address - Street 2:STE 115 #116
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326
Practice Address - Country:US
Practice Address - Phone:520-686-8679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA455213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist