Carlson, Jennifer A

Carlson, Jennifer A is an individual health care provider with primary practice located at 5920 N Bridget St , Spokane WA 99208-7062. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carlson, Jennifer A can be contacted via phone (509) 581-3550.

Contact Information

Primary practice address
5920 N Bridget St Spokane WA 99208-7062
Fax: (509) 232-3309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ARNP.AP.60860636-NP Washington
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ARNP.AP.60860636-NP Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60860636 Washington

Profile Details

NPI number 1407349871
LBN Legal business name Carlson, Jennifer A
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2018
Last updated Mar 16th, 2022 - about 4 years 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 1407349871 NPPES
Washington MEDICAID 2145049

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