Nelson, Jacqueline Lee

Nelson, Jacqueline Lee is an individual health care provider with primary practice located at 29 Black Coal Dr , Fort Washakie WY 82514-0128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nelson, Jacqueline Lee can be contacted via phone (307) 332-7300.

Contact Information

Primary practice address
29 Black Coal Dr Fort Washakie WY 82514-0128
Fax: (307) 332-7464
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4681A Wyoming

Profile Details

NPI number 1548333206
LBN Legal business name Nelson, Jacqueline Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Nov 17th, 2011 - about 14 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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