| Mrs Jennifer M Carlson, APRN | |
|
999 Foxon Rd, Suite 36, North Branford, CT 06471-1287 | |
| (203) 484-7334 | |
| (203) 484-7301 |
| Full Name | Mrs Jennifer M Carlson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 999 Foxon Rd, North Branford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134251689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 000589 (Connecticut) | Primary |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer M Carlson, APRN 167 Old Sachems Head Rd, Guilford, CT 06437-3136 Ph: (203) 484-7334 | Mrs Jennifer M Carlson, APRN 999 Foxon Rd, Suite 36, North Branford, CT 06471-1287 Ph: (203) 484-7334 |
Jhennelle Lee, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Branford Rd, North Branford, CT 06471 Phone: 203-483-2630 Fax: 203-483-2659 | |
Kathrine Ann Walker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 229 Branford Rd Unit 424, North Branford, CT 06471 Phone: 860-575-8456 |