Carson, Christopher

Carson, Christopher is an sole proprietor health care provider with primary practice located at 1832 Hospital Dr , Jackson MS 39204-3410. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Carson, Christopher can be contacted via phone (601) 371-8883.

Contact Information

Primary practice address
1832 Hospital Dr Jackson MS 39204-3410
Phone: (601) 371-8883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 880514 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 880514 Mississippi

Profile Details

NPI number 1578986915
LBN Legal business name Carson, Christopher
Credentials FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2014
Last updated Sep 2nd, 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 1578986915 NPPES
Mississippi MEDICAID 04372879

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