| NPI | 1538179205 |
|---|---|
| Other Name | JEANNE RENE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-099348) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 770) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2017-01-06 |