Individual ProviderAvery CarpenterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address23 Cross Hl, Hattiesburg, MS 39402-7519(601) 606-3456PECOS EnrollmentBased on the most recent information from CMS, provider Avery Carpenter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1952192627Provider TypeIndividualFull NameCarpenter, AveryCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date5/13/2025Last Updated5/13/2025Contact InformationPractice LocationPractice Address23 Cross Hl, Hattiesburg, MS 39402-7519Phone(601) 606-3456FaxUnlisted FaxMailing LocationMailing Address6051 U S Highway 49, Hattiesburg, MS 39401-7200PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense905604Mississippi