JESSICA T CARLSON NP NPI 1043563638

NPI Information

NPI: 1043563638
Provider Name: JESSICA T CARLSON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
19343 SUNSHINE AVE
COVINGTON, LA
ZIP 70433
Phone: (985) 892-5125
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Jessica T Carlson, NP is an adult health nurse practitioner in Covington, LA with 12 years of experience. Jessica T Carlson, NP NPI is 1043563638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19343 SUNSHINE AVE
COVINGTON, LA
ZIP 70433-834
Phone: (985) 892-5125
Fax: (985) 892-5128

The NPI 1043563638 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2012 and was last updated on 11/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP06955	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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