Active NPIIndividual provider

Dr. Jennifer B Carlson, MD

Pediatrics in South Burlington, Vermont

NPI Number1710939814
Practice location
52 Timber Ln, South Burlington, VT 05403-7204
Fax
—
Last updated
June 17, 2009

Jennifer Bergeron Carlson is a Pediatrics based in South Burlington, VT. Jennifer Bergeron Carlson practices in South Burlington, VT and has the professional credentials of MD. The NPI Number for Jennifer Bergeron Carlson is 1710939814 and holds a License No. 5758864-1205 (UT). The current practice location address for Jennifer Bergeron Carlson is 52 Timber Ln, South Burlington, VT 05403-7204 and can be reached out via phone at 802-658-2320.

Provider Profile Details

NPI Number
1710939814
Provider Name
Jennifer Bergeron Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
52 Timber Ln, South Burlington, VT 05403-7204
Phone Number
802-658-2320
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Other Names
Ms. Jennifer Ellen Carlson (Other Name)
Provider Enumeration Date
May 17, 2006
Last Update Date
June 17, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 Timber Ln
South Burlington, VT 05403-7204
State
Vermont
Zip
05403-7204
Phone Number
802-658-2320
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
52 Timber Ln
South Burlington, VT 05403-7204
City
South Burlington
State
VT
Zip
05403-7204
Phone Number
802-658-2320

License Information

License Number (1)
5758864-1205
License State (1)
UT
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
5758864-1205
License State (2)
UT
License Number (3)
042-0011786
License State (3)
VT
Taxonomy (3)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jennifer B Carlson, MD?

The NPI number of Dr. Jennifer B Carlson, MD is 1710939814. It was assigned on May 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer B Carlson, MD?

Dr. Jennifer B Carlson, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in UT under license number 5758864-1205.

Where does Dr. Jennifer B Carlson, MD practice?

The practice location is 52 Timber Ln, South Burlington, VT 05403-7204. The office can be reached at 802-658-2320 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710939814 directly on the NPPES registry website.

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