Individual provider · Type 1 NPI

Jacqueline Carlson, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Port Charlotte, FL

NPI number 1730826538 Active

Practice location

3191 Harbor Blvd Ste A
Port Charlotte, FL 33952-6755

Fax (941) 883-4518

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11019665 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1730826538

Jacqueline Carlson, PMHNP's National Provider Identifier is 1730826538, issued on May 13, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Charlotte, FL. The record was last updated on Oct 16, 2026.