Individual provider · Type 1 NPI

Kelly Jean Stauss Carlson, NP-C

Family Nurse Practitioner · Grand Forks, ND

NPI number 1306126255 Active

Practice location

1000 South Columbia Road
Grand Forks, ND 58206-6002

Call (701) 780-5000 Map

Fax (701) 235-2099

Mailing address

PO Box 6002
Grand Forks, ND 58206-6002

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	R28140 (ND)

Family Nurse Practitioner: Definition to come...

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About NPI 1306126255

Kelly Jean Stauss Carlson, NP-C's National Provider Identifier is 1306126255, issued on Aug 24, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Forks, ND. The record was last updated on Oct 25, 2012.