Nelson, Jennifer Louise

Nelson, Jennifer Louise is an individual health care provider with primary practice located at 1085 Maple St , Farmington MO 63640-1955. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Nelson, Jennifer Louise can be contacted via phone (573) 756-5353.

Contact Information

Primary practice address
1085 Maple St Farmington MO 63640-1955
Phone: (573) 756-5353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1710388079
LBN Legal business name Nelson, Jennifer Louise
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2014
Last updated Jan 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710388079 NPPES
California Other IMF81155 BOARD OF BEHAVIORAL SCIENCE - MARIAGE AND FAMILY THERAPIST INTERN

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