Individual
JACQUELINE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
145 W 23RD ST, ERIE, PA 16502-2858
(814) 835-2626
(814) 835-2646
Mailing address
145 W 23RD ST STE 202, ERIE, PA 16502-2858
(814) 835-2626
(814) 835-2646
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
000806
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
DN006773
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005261701
BLUE CROSS
NY
01
—
051101000071
FIDELIS
NY
Enumeration date
10/31/2005
Last updated
08/15/2022
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