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Contact Information

JILL S CARLSON, RNFA, NP
2545 CHICAGO AVE
SUITE 601
MINNEAPOLIS, MN55404-4522
 Phone: 612-863-7770
 Fax: 612-863-7772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for JILL S CARLSON · (Female)

NPI # 1811150691
Status Active
Credentials RNFA, NP
Entity Individual
Enumeration date 07/02/2008
Last updated 03/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 3971
  • MN License # R1479876
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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