Individual ProviderJessica Ellece CarlsonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressTtuhsc Department Of Obgyn 3601 4th Street, Lubbock, TX 79430-0001(806) 743-2978PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Ellece Carlson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1437841301Provider TypeIndividualFull NameCarlson, Jessica ElleceCredentialDOGenderFemaleSole ProprietorNoEnumeration Date5/22/2023Last Updated5/22/2023Contact InformationPractice LocationPractice AddressTtuhsc Department Of Obgyn 3601 4th Street, Lubbock, TX 79430-0001Phone(806) 743-2978FaxUnlisted FaxMailing LocationMailing AddressTtuhsc Department Of Obgyn 3601 4th Street, Lubbock, TX 79430-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer