Jackie Nelson, Pllc

LBN: Jackie Nelson, Pllc
Jackie Nelson, Pllc is an health care organization with primary practice located at 202 N 9Th St Ste 401C , Boise ID 83702-5770. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Jackie Nelson, Pllc can be contacted via phone (208) 639-9192, or through Nelson, Jacquelyn via phone (480) 316-5462.

Contact Information

Primary practice address
202 N 9Th St Ste 401C Boise ID 83702-5770
Phone: (208) 639-9192
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Jacquelyn M.S.C, LCPC
Phone: (480) 316-5462

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1033740865
LBN Legal business name Jackie Nelson, Pllc
DBA Doing business as
Authorized official Nelson, Jacquelyn M.S.C, LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2020
Last updated Jan 30th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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