Individual
JENNIFER A CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
5920 N BRIDGET ST, SPOKANE, WA 99208-7062
(509) 581-3550
(509) 232-3309
Mailing address
816 W FRANCIS AVE # 502, SPOKANE, WA 99205-6512
(509) 581-3550
(509) 232-3309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ARNP.AP.60860636-NP
WA
208VP0014X
Interventional Pain Medicine Physician
ARNP.AP.60860636-NP
WA
363L00000X
Nurse Practitioner
Primary
AP60860636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145049
—
WA
Enumeration date
06/11/2018
Last updated
03/16/2022
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