Nelson, Faye

Nelson, Faye is an sole proprietor health care provider with primary practice located at 2125 Hyde Park Rd Apt 2 , Jacksonville FL 32210-3857. She recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care, Agencies / Home Health. Agencies / In Home Supportive Care is her primary health care specialty. Nelson, Faye can be contacted via phone (904) 610-7479.

Contact Information

Primary practice address
2125 Hyde Park Rd Apt 2 Jacksonville FL 32210-3857
Phone: (904) 610-7479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Agencies / In Home Supportive Care 253Z00000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1053832220
LBN Legal business name Nelson, Faye
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2017
Last updated Jul 21st, 2022 - about 2 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 1053832220 NPPES
Florida MEDICAID 82-2005980

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