Provider Demographics
NPI:1437587060
Name:DEER, CARRIE C (PMHNP)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:C
Last Name:DEER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:FT EISENHOWER
Mailing Address - State:GA
Mailing Address - Zip Code:30905
Mailing Address - Country:US
Mailing Address - Phone:706-787-3143
Mailing Address - Fax:706-787-5625
Practice Address - Street 1:300 E HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:FT. EISENHOWER
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-3143
Practice Address - Fax:706-787-5620
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2025-02-28
Deactivation Date:2018-10-29
Deactivation Code:
Reactivation Date:2018-11-13
Provider Licenses
StateLicense IDTaxonomies
SC18534363LP0808X
TXAP126784363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health