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DR. JEANNE CAROL CARLSEN RN, PMHNP-BC, CNP

Marriage and Family Therapist

Sioux Falls, South Dakota

Provider NPI: 1609956283

Provider Information:
DR. JEANNE CAROL CARLSEN RN, PMHNP-BC, CNP
Gender: F
Not Sole Proprietor

Practice Location:
2210 S BROWN PL  SIOUX FALLS, SD 57105 US
Tel: 605-336-1974  Fax: 605-336-9031

Business Mailing Address:
2210 S BROWN PL  SIOUX FALLS, SD 57105 US
Tel: 605-336-1974  Fax: 605-336-9031

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
SDSDLMFT1110
N163WP0808XNursing Service Providers
Registered Nurse
SDSDRNR025116
Y2084P0800XPhysicians
Psychiatry & Neurology
SDCNP
N364SP0807XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
SDSDCNSCS004018

Other Provider Identifiers:

IssuerNumberStateType
6575930SD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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