Individual provider · Type 1 NPI
Tammy L. Carlson, APRN
Nurse Practitioner · Rockford, IL
Practice location
5875 E Riverside Blvd
Rockford, IL 61114-4937
Fax (815) 381-7498
Mailing address
PO Box 735263
Chicago, IL 60673-5263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 041480256 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209027060 (IL) |
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 1649977786
Tammy L. Carlson, APRN's National Provider Identifier is 1649977786, issued on Feb 9, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Aug 3, 2023.