Individual
JAMIE JO CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3618 BRIAR LN, ENDWELL, NY 13760-2404
(607) 786-8243
Mailing address
712 FARM TO MARKET RD, ENDWELL, NY 13760-1128
(607) 748-1400
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
748317
NY
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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