person
Jacqueline Carlson, RDCDE
Metabolic Nutrition Registered Dietitian in Erie, Pennsylvania
NPI 1942291935

Jacqueline Carlson is a Metabolic Nutrition Registered Dietitian based in Erie, PA and is specialized in Nutrition, Metabolic. Jacqueline Carlson practices in Erie, PA and has the professional credentials of RDCDE. The NPI Number for Jacqueline Carlson is 1942291935 and holds a License No. 000806 (Pennsylvania).

The current practice location address for Jacqueline Carlson is 145 W 23Rd St, Erie, PA and can be reached out via phone at 814-835-2626 and via fax at 814-835-2646. You can also correspond with Jacqueline Carlson through the mailing address at 145 W 23RD ST STE 202, ERIE, PA - 16502-2858 (mailing address contact number: 814-835-2626).

Location: 145 W 23Rd St, Erie, PA, 16502-2858
person
Provider Profile Details
NPI Number
1942291935
Provider Name
Jacqueline Carlson
Credential
RDCDE
Provider Entity Type
Individual
Gender
Female
Address
145 W 23Rd St, Erie, PA, 16502-2858
Phone Number
814-835-2626
Fax Number
814-835-2646
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
005261701 01 NY BLUE CROSS
051101000071 01 NY FIDELIS
institution
Provider Business Practice Location Address Details
Address
145 W 23Rd St
City
State
Zip
16502-2858
Phone Number
814-835-2626
Fax Number
814-835-2646
person
Provider Business Mailing Address Details
Address
145 W 23Rd St Ste 202
City
State
Zip
16502-2858
Phone Number
814-835-2626
Fax Number
814-835-2646
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
000806 (New York)
Definition
Definition to come...