# DR. JENNIFER BERGERON CARLSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710939814
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 042-0011786 | VT | Yes |
| 208000000X | Pediatrics Physician | 5758864-1205 | UT | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 5758864-1205 | UT | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 06/17/2009