Nelson, Jessica R
Nelson, Jessica R is an individual health care provider with primary practice located at 90 South St , Glens Falls NY 12801-4328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Nelson, Jessica R can be contacted via phone (518) 792-7841.Contact Information
Primary practice address
90 South St
Glens Falls NY 12801-4328
Phone: (518) 792-7841
Fax: (518) 932-0289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | F001818 | New York |
Profile Details
| NPI number | 1255730552 |
|---|---|
| LBN Legal business name | Nelson, Jessica R |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2014 |
| Last updated | Apr 5th, 2022 - 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 | 1255730552 | NPPES |
| New York | MEDICAID | 03993895 |
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