Nelson, Jason D

Nelson, Jason D is an individual health care provider with primary practice located at 220 N 6Th Ave E , Duluth MN 55805-1952. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Nelson, Jason D can be contacted via phone (218) 249-7000.

Contact Information

Primary practice address
220 N 6Th Ave E Duluth MN 55805-1952
Phone: (218) 249-7000
Fax: (218) 249-7050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R175110-9 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R-175110-9 Minnesota

Profile Details

NPI number 1982831947
LBN Legal business name Nelson, Jason D
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Jan 19th, 2021 - about 5 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 1982831947 NPPES
Minnesota MEDICAID R1751109

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