Jason A Carman in Crystal Lake - Nurse Practitioner
Jason A Carman - NPI 1174522825
Jason A Carman is a Nurse Practitioner in Crystal Lake, Illinois. Jason A Carman practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jason A Carman is 1174522825. The last update date is 2018-11-02.
Jason A Carman's current location address is 360 Station Dr, Crystal Lake, Illinois. You can contact this provider via phone number 8153386600 and fax number 8154558044. The mailing address for Jason A Carman is 360 Station Dr, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason A Carman |
|---|---|
| Address | 360 Station Dr, Crystal Lake, Illinois |
| Phone Number | 8153386600 |
| Fax Number | 8154558044 |
| Sole Proprietor | N |
| Credentials | DNP |
NPI Number Detail
| NPI Number | 1174522825 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2018-11-02 |
Provider Mailing Address Detail
| Address | 360 Station Dr |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600147978 |
| Phone Number | 8153386600 |
| Fax Number | 8154558044 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209000227 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209000227 | IL | STATE LICENSE |
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What is the Jason A Carman's unique identification number?
The Jason A Carman has been assigned the NPI (National Provider Identifier) Number 1174522825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Jason A Carman by the Centers for Medicare & Medicaid Services?
The Jason A Carman has been issued the NPI (National Provider Identifier) 1174522825, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Jason A Carman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason A Carman is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
When did the Jason A Carman receive its 1174522825?
The Jason A Carman was issued its 1174522825 on 2005-07-15, which is the date when the organization was assigned this unique identifier.
On what date did the Jason A Carman receive its 1174522825 assignment from the Centers for Medicare & Medicaid Services?
The Jason A Carman was assigned its 1174522825 by the Centers for Medicare & Medicaid Services on 2005-07-15.
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