Mrs. Jeannot Lee Carlson
Nurse Practitioner - Women's Health
599 Sir Francis Drake Blvd Ste 202 Suite 117
Greenbrae
, California 94904-1731
Mrs. Jeannot Lee Carlson
Nurse Practitioner - Women's Health
599 Sir Francis Drake Blvd Ste 202 Suite 117
Greenbrae
, California 94904-1731
(415) 925-1156
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Mrs. Jeannot Lee Carlson
- 599 Sir Francis Drake Blvd Ste 202 Suite 117
- Greenbrae, CA
- Zip : 94904-1731
- Fax : (415) 925-1156
- Phone : (415) 461-1149
Second Address
- Mrs. Jeannot Lee Carlson
- 599 Sir Francis Drake Blvd Ste 202 Suite 117
- Greenbrae, CA
- Zip : 94904-1731
- Fax : (415) 925-1156
- Phone : (415) 461-1149
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 209664 | CA |
National Provider Identifier
| NPI | 1104036474 |
|---|---|
| Provider Name | Mrs. Jeannot Lee Carlson |
| First Address | Greenbrae, CA 94904-1731 |
| Second Address | Greenbrae, CA 94904-1731 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 05/02/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.