Jennifer B Carlock is a Family in Leesville, Louisiana. Jennifer B Carlock practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer B Carlock is 1164616553. The last update date is 2014-10-02.
Jennifer B Carlock's current location address is 1100 Nolan Trace, Leesville, Louisiana. You can contact this provider via phone number 3372385180 and fax number 3372384840. The mailing address for Jennifer B Carlock is 1100 Nolan Trace, Leesville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer B Carlock |
|---|---|
| Address | 1100 Nolan Trace, Leesville, Louisiana |
| Phone Number | 3372385180 |
| Fax Number | 3372384840 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1164616553 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2014-10-02 |
Provider Mailing Address Detail
| Address | 1100 Nolan Trace |
|---|---|
| City | Leesville |
| State | Louisiana (LA) |
| Post Code | 71446 |
| Phone Number | 3372385180 |
| Fax Number | 3372384840 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP05283 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer B Carlock?
The Jennifer B Carlock has been issued the NPI (National Provider Identifier) 1164616553 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jennifer B Carlock?
The Jennifer B Carlock is situated at 1100 Nolan Trace, in the city of Leesville, state of LA, with the zip code 71446.
What is Jennifer B Carlock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jennifer B Carlock's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164616553 to Jennifer B Carlock?
The Centers for Medicare & Medicaid Services originally issued the 1164616553 to Jennifer B Carlock on 2007-08-29.
When was the information pertaining to Jennifer B Carlock most recently updated or revised?
The details related to Jennifer B Carlock, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-02.
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