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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODY NICKLAS CARSON, DO

Active Sole Proprietor

JODY NICKLAS CARSON, DO is a Internal Medicine healthcare provider located in SPRINGFIELD, Missouri. NPI 1235717695 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SPRINGFIELD, MO

Registration Details

NPI Number
1235717695
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2021 (5.382248526098 yrs)
Last Updated
Nov 13, 2025
License
2024013617 (MO)
Sole Proprietor
Yes

Practice Information

Address
3801 S NATIONAL AVE
SPRINGFIELD, MO, 658075210
Browse MO providers · Browse ZIP 65807
Phone
4172696000
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in SPRINGFIELD, MO

Name Credential NPI
DR. JAMES L GODARD DO 1558366724
MS. DIANA LEE WOLFE M.D. 1477546539
MRS. OLEVIA M PITTS M.D. 1447244884
WILLIAM STEPHEN BODANSKE MD 1427039973
FREDERICK N LOBATI M.D. 1306823273
REGGIE L. GEORGE M.D. 1396723292
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.