Provider Demographics
NPI:1992697155
Name:JCARTER NUTRITION
Entity type:Organization
Organization Name:JCARTER NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:205-999-3311
Mailing Address - Street 1:4959 SPRING ROCK RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1642
Mailing Address - Country:US
Mailing Address - Phone:205-999-3311
Mailing Address - Fax:866-262-4150
Practice Address - Street 1:5865 OLD LEEDS RD STE H
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35210-2169
Practice Address - Country:US
Practice Address - Phone:205-999-3311
Practice Address - Fax:866-262-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty