Nelson, Jason D
Nelson, Jason D is an individual health care provider with primary practice located at 220 N 6Th Ave E , Duluth MN 55805-1952. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Nelson, Jason D can be contacted via phone (218) 249-7000.Contact Information
Primary practice address
220 N 6Th Ave E
Duluth MN 55805-1952
Phone: (218) 249-7000
Fax: (218) 249-7050
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R175110-9 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R-175110-9 | Minnesota |
Profile Details
NPI number | 1982831947 |
---|---|
LBN Legal business name | Nelson, Jason D |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2009 |
Last updated | Jan 19th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982831947 | NPPES |
Minnesota | MEDICAID | R1751109 |
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