Organization
CARLSEN PSYCHIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE CAROL CARLSEN CNP (OWNER)
(605) 521-0921
Entity
Organization
Contact information
Practice address
3101 W 41ST ST STE 209, SIOUX FALLS, SD 57105-8130
(605) 521-0921
Mailing address
3101 W 41ST ST STE 209, SIOUX FALLS, SD 57105-8130
(605) 521-0921
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6575930
—
SD
Enumeration date
02/17/2022
Last updated
07/11/2022
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