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
Phone: (509) 581-3550
Fax: (509) 232-3309
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407349871 | NPPES |
| Washington | MEDICAID | 2145049 |
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