Nelson, Jennifer K

Nelson, Jennifer K is an individual health care provider with primary practice located at 1997 Sloan Pl Ste 17 , Maplewood MN 55117-2051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nelson, Jennifer K can be contacted via phone (651) 772-6251.

Contact Information

Primary practice address
1997 Sloan Pl Ste 17 Maplewood MN 55117-2051
Phone: (651) 772-6251
Fax: (651) 224-9661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10980 Minnesota

Profile Details

NPI number 1124309372
LBN Legal business name Nelson, Jennifer K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Oct 25th, 2022 - about 4 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 1124309372 NPPES
Minnesota MEDICAID 1124309372

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