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NPI Code Detail

MEDICARE: MS. KAMI DICKSON CARLSON ANP

MEDICARE:  MS. KAMI DICKSON CARLSON  ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner10489TN
2363LA2200XAdult Health Nurse PractitionerAP2090AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073546974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAMI DICKSON CARLSON ANP
Provider Business Mailing Address
First Line : 201 JORDAN RD STE 100
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-4495
Country : US
Telephone Number : 615-905-5461
Fax Number :
Provider Business Practice Location Address
First Line : 926 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-679-9087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 04/30/2022

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Directions to “ MS. KAMI DICKSON CARLSON ANP” Practice Location

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