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Organization
JODI L. CARSON NURSE PRACTITIONER IN PSYCHIATRY
Active
Organization
JODI L. CARSON NURSE PRACTITIONER IN PSYCHIATRY
Active
Other names
Tree of Life Total Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JODI L CARSON NP (OWNER)
(518) 416-0359
Entity
Organization
Contact information
Practice address
939 ROUTE 146 STE 620, CLIFTON PARK, NY 12065-3629
(518) 414-5706
Mailing address
641 GROOMS RD # 130, CLIFTON PARK, NY 12065-5912
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
01/07/2025
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