| Doctor Name: | JAMIE DAWN CARSON |
| NPI Number: | 1053700377 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | R0076751 |
| Business Practice Address: | 1491 Health Center Pkwy Yukon, OK - 730996492 |
| Business Phone Number: | 4056204549 |
| Business Fax Number: | |
| Mailing Address: | 504 Vickie Dr, YUKON |
| State: | OK |
| Postal Code: | 730991640 |
| Phone Number: | 4056204549 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2015 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R0076751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |