Search › Idaho › 225X00000X
Jacquelynne Carlson
NPI 1982338885 · on the registry since 2022
Practice
- Address
- 1812 N Lakewood Dr Ste 100
Coeur D Alene, ID 83814 - Phone
- (208) 966-4476
- Fax
- (208) 966-4475
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho