Nelson, Jama Lynn

Nelson, Jama Lynn is an individual health care provider with primary practice located at 215 N G St , Lakeview OR 97630-1417. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Nelson, Jama Lynn can be contacted via phone (541) 947-6021.

Contact Information

Primary practice address
215 N G St Lakeview OR 97630-1417
Phone: (541) 947-6021
Fax: (541) 947-6020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20-10-24 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1285124081
LBN Legal business name Nelson, Jama Lynn
Credentials QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2018
Last updated Nov 16th, 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 1285124081 NPPES
Oregon MEDICAID 930577593

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