Nelson, Jill S

Nelson, Jill S is an individual health care provider with primary practice located at 909 N 96Th St Suite 201, Omaha NE 68114-2497. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Nelson, Jill S can be contacted via phone (402) 330-4555.

Contact Information

Primary practice address
909 N 96Th St Suite 201 Omaha NE 68114-2497
Phone: (402) 330-4555
Fax: (402) 934-0945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 22549 Nebraska
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 33262 Iowa
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 33262 Iowa
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 22549 Nebraska

Profile Details

NPI number 1164531158
LBN Legal business name Nelson, Jill S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164531158 NPPES
Nebraska MEDICAID 100255555000

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