Provider Demographics
NPI:1578023271
Name:CARPENTER, JESSICA (MD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:MONTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:339 PRINCETON HIGHTSTOWN ROAD
Mailing Address - Street 2:BLDG A
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2901
Mailing Address - Country:US
Mailing Address - Phone:609-918-0330
Mailing Address - Fax:609-918-0331
Practice Address - Street 1:339 PRINCETON HIGHTSTOWN ROAD
Practice Address - Street 2:BLDG A
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08512-2901
Practice Address - Country:US
Practice Address - Phone:609-918-0330
Practice Address - Fax:609-918-0331
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11652600207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine