Individual
JAKE ALEXANDER CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 NUTT RD, PHOENIXVILLE, PA 19460-3900
(610) 983-1000
Mailing address
2799 SPRINGHAVEN PL, MACUNGIE, PA 18062-1410
(908) 565-1508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN712653
PA
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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