Jeanette Diane Carlson
Individual provider Active NPI Personal Care Attendant · Crookston, MN
NPI 1861669822 · NPPES record last updated May 9, 2008
Key facts
- NPI
- 1861669822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 27885 170TH Ave SW
Crookston, MN 56716-9444 - Phone
- (218) 281-3506
- Fax
- (218) 281-3015
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Plus Incorporate | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
27885 170TH Ave SW
Crookston, MN 56716-9444
Mailing address
27885 170TH Ave SW
Crookston, MN 56716-9444
Phone (218) 281-3506
Other names
- Jeanette Diane Anderson
Other providers in Crookston, MN
- Beth Hariette Burnette
- Oliver Buseth
- Shanon Erin Caillier
- Calming Waters Therapy PLLC
- Angela Marie Carlson
- Mary Lou Carlson
- Eileen M Channel
- Brynn Lara Charlesworth
- Ioan John Chitu I
- Choice Therapy Crookston LLC
All providers in Crookston, MN · Personal Care Attendant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.