Carpenter, Rebecca Lyn

Carpenter, Rebecca Lyn is an individual health care provider with primary practice located at 4550 Memorial Dr Ste 280 , Belleville IL 62226-5372. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carpenter, Rebecca Lyn can be contacted via phone (618) 767-3235.

Contact Information

Primary practice address
4550 Memorial Dr Ste 280 Belleville IL 62226-5372
Phone: (618) 767-3235
Fax: (618) 624-4982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2014041453 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209020059 Illinois

Profile Details

NPI number 1336537919
LBN Legal business name Carpenter, Rebecca Lyn
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2015
Last updated Feb 16th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336537919 NPPES
Missouri MEDICAID 420019194

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