Individual provider · Type 1 NPI

Amanda Jo Carlson, DNP, FNP-BC

Nurse Practitioner · Greenfield, WI

NPI number 1114597168 Active

Practice location

4448 W Loomis Rd
Greenfield, WI 53220-4800

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 550 W Frontage Rd, Northfield, IL 60093-1202 · (847) 386-7744

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11274-033 (WI)
Family Nurse Practitioner 363LF0000X2019053373 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114597168

Amanda Jo Carlson, DNP, FNP-BC's National Provider Identifier is 1114597168, issued on Jun 30, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenfield, WI. The record was last updated on Jul 2, 2026.