Jacqueline Carlson, RDCDE
Jacqueline Carlson, RDCDE is a Registered Dietitian OR Nutrition Professional in Erie, Pennsylvania. Qualified in 1984, 42 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.
- Years since qualifying
- 42
- Licensed in
- NY, PA
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
145 W 23rd StErie, PA 16502-2858
Phone: (814) 835-2626
Fax: (814) 835-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Metabolic Nutrition Registered Dietitian (primary) | Taxonomy 133VN1006X · Licence DN006773 (PA) |
|---|---|
| Metabolic Nutrition Registered Dietitian | Taxonomy 133VN1006X · Licence 000806 (NY) |
Record details
| NPI number | 1942291935 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RDCDE |
| Sole proprietor | No |
| NPI enumerated | October 31, 2005 |
| Last updated in NPPES | August 15, 2022 |
| Certification date | August 15, 2022 |
| Mailing address | 145 W 23rd St Ste 202, Erie, PA 16502-2858 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 1984 (42 years in practice) |
| Group practice | St Vincent Medical Education And Research Institute Inc — 299 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Erie
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Saint Vincent Medical Education and Research Institute
145 W 23rd St Ste 302A, Erie, PA 16502-2858 · (814) 452-7354