Nelson, Carol Jean

Nelson, Carol Jean is an individual health care provider with primary practice located at 100 Municipal Dr , Gun Barrel City TX 75156-3702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Nelson, Carol Jean can be contacted via phone (903) 713-1511.

Contact Information

Primary practice address
100 Municipal Dr Gun Barrel City TX 75156-3702
Phone: (903) 713-1511
Fax: (903) 713-1519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X PA02477 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02477 Texas

Profile Details

NPI number 1508959479
LBN Legal business name Nelson, Carol Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508959479 NPPES
Texas MEDICAID 133367605

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