Nelson, Jackie Marie
Nelson, Jackie Marie is an individual health care provider with primary practice located at 2250 N Miller Campus Dr , Lehi UT 84043-7233. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nelson, Jackie Marie can be contacted via phone (801) 662-1000.Contact Information
Primary practice address
2250 N Miller Campus Dr
Lehi UT 84043-7233
Phone: (801) 662-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 11471209-2501 | Utah |
Profile Details
| NPI number | 1215552765 |
|---|---|
| LBN Legal business name | Nelson, Jackie Marie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2020 |
| Last updated | Dec 14th, 2023 - about 3 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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