Mrs. Linda Jan Carlson
Nurse Practitioner - Pediatrics
5467 Ronald Reagan Blvd
Sanford
, Florida 32773-6332
Mrs. Linda Jan Carlson
Nurse Practitioner - Pediatrics
5467 Ronald Reagan Blvd
Sanford
, Florida 32773-6332
(407) 774-7758
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Linda Jan Carlson
- 606 La Salle Dr
- Altamonte Springs, FL
- Zip : 32714-1322
- Phone : (407) 774-7758
Second Address
- Mrs. Linda Jan Carlson
- 5467 Ronald Reagan Blvd
- Sanford, FL
- Zip : 32773-6332
- Fax : (407) 324-3045
- Phone : (407) 324-3036
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 930872 | FL |
National Provider Identifier
| NPI | 1033217823 |
|---|---|
| Provider Name | Mrs. Linda Jan Carlson |
| First Address | Altamonte Springs, FL 32714-1322 |
| Second Address | Sanford, FL 32773-6332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 30/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 311901700 | (05) | FL |
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.