# JAN NELSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134662893
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 074799-21 | NH | — |
| 163W00000X | Registered Nurse | RN2284986 | MA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 074799-23 | NH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 11002628 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN2284986 | MA | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 09/21/2020