Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA L CARLSON
ActiveJESSICA L CARLSON is a Military Health Care Provider healthcare provider located in COAL VALLEY, Illinois. NPI 1205422011 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · COAL VALLEY, IL
Registration Details
- NPI Number
- 1205422011
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2020 (5.4791242974224 yrs)
- Last Updated
- Dec 15, 2020
Practice Information
- Address
-
112 W 9TH STCOAL VALLEY, IL, 612409120Browse IL providers · Browse ZIP 61240
- Phone
- 3096442870
- Primary Specialty
-
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.