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Carolyn Celestine Charles, FNP-C
Family Nurse Practitioner in Lake Jackson, Texas
NPI 1124678511

Carolyn Celestine Charles is a Family Nurse Practitioner based in Lake Jackson, TX and is specialized in Family. Carolyn Celestine Charles practices in Lake Jackson, TX and has the professional credentials of FNP-C. The NPI Number for Carolyn Celestine Charles is 1124678511 and holds a License No. 143100 (Texas).

The current practice location address for Carolyn Celestine Charles is 106 Circle Way St, Lake Jackson, TX and can be reached out via phone at 979-824-8291.

Location: 106 Circle Way St, Lake Jackson, TX, 77566-0252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124678511
Provider Name
Carolyn Celestine Charles
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
106 Circle Way St, Lake Jackson, TX, 77566-0252
Phone Number
979-824-8291
Fax Number
Provider Enumeration Date
09/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143100 05 TX
institution
Provider Business Practice Location Address Details
Address
106 Circle Way St
City
Lake Jackson
State
Texas
Zip
77566-5266
Phone Number
979-824-8291
Fax Number
person
Provider Business Mailing Address Details
Address
106 Circle Way St
City
Lake Jackson
State
Texas
Zip
77566-5266
Phone Number
979-824-8291
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
143100 (Texas)
Definition
Definition to come...
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