JESSICA L CARLSON
NPI 1205422011
Military Health Care Provider in Coal Valley, IL

Q: What is Jessica Carlson's NPI number?

The NPI number for Jessica Carlson is 1205422011. It was assigned to this individual provider in the NPPES registry on December 15, 2020. The provider is also known as Jessica Mccarty.

Q: What is Jessica Carlson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Carlson was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2020

112 W 9TH ST, COAL VALLEY, IL 61240(309) 644-2870 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica L Carlson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA L CARLSON (NPI 1205422011) is an individual military health care provider provider in Coal Valley, Illinois and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1205422011

Entity TypeIndividualFemale

Primary Taxonomy171000000X

Provider Legal NameJESSICA L CARLSON

Location Address112 W 9TH STCoal Valley, IL 61240-9120

Mailing Address112 W 9th StCoal Valley, IL 61240-9120 · (309) 644-2870

Phone(309) 644-2870

Sole ProprietorNo

Enumeration DateDecember 15, 2020

NPPES CertifiedDecember 15, 2020

✔ NPI 1205422011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

112 W 9TH ST, Coal Valley, IL 61240

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Other Names 1

Former Name (1)Jessica Mccarty

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Carlson's NPI number?

The NPI number for Jessica Carlson is 1205422011. It was assigned to this individual provider in the NPPES registry on December 15, 2020. The provider is also known as Jessica Mccarty.

Where is Jessica Carlson located?

Jessica Carlson practices at 112 W 9th St, Coal Valley, IL 61240. The listed phone number is (309) 644-2870.

What is Jessica Carlson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jessica Carlson was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.