NPI 1003605775
Jennifer Carson, NBCHWC
Practice location
- Address
- 16911 County Road 122, Tyler, TX 75703-8026
- Phone
- (903) 871-3450
- Mailing address
- 17890 County Road 15, Tyler, TX 75703-8060
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1003605775
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 May 2025
- Record last updated
- 1 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.