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Jennifer Johnson Carlson, FNP
Family Nurse Practitioner in Vancouver, Washington
NPI 1558553693

Jennifer Johnson Carlson is a Family Nurse Practitioner based in Portland, WA and is specialized in Family. Jennifer Johnson Carlson practices in Vancouver, WA and has the professional credentials of FNP. The NPI Number for Jennifer Johnson Carlson is 1558553693 and holds a License No. 200750023NP (Washington).

The current practice location address for Jennifer Johnson Carlson is 1905 Se 164Th Ave, Vancouver, WA and can be reached out via phone at 360-836-3396.

Location: 1905 Se 164Th Ave, Vancouver, WA, 97208-3158
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Provider Profile Details
NPI Number
1558553693
Provider Name
Jennifer Johnson Carlson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1905 Se 164Th Ave, Vancouver, WA, 97208-3158
Phone Number
360-836-3396
Fax Number
Provider Enumeration Date
08/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9658154 05 WA
500601300 05 OR
institution
Provider Business Practice Location Address Details
Address
1905 Se 164Th Ave
City
State
Zip
98683-8937
Phone Number
360-836-3396
Fax Number
person
Provider Business Mailing Address Details
Address
1905 Se 164Th Ave
City
State
Zip
98683-8937
Phone Number
360-836-3396
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
200750023NP (Oregon)
Definition
Definition to come...
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