NPI 1417630294 · live from the CMS NPI Registry
Jamie Charlson, DNP, FNP-BC
Nurse Practitioner, Family in Burlington, VT. National Provider Identifier 1417630294, active.
NPI record
| NPI | 1417630294 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 789 Pine St, Burlington, VT 05401 |
| Practice phone | 802-864-0693 |
| Mailing address | 617 Riverside Ave, Burlington, VT 05401 |
| Enumerated | August 9, 2023 |
| Last updated | August 18, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 101.0136508 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.