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Individual
JENNIFER LYNN NELSON
Active
Individual
JENNIFER LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009641A
IN
363LF0000X
Family Nurse Practitioner
28185619A
IN
363LF0000X
Family Nurse Practitioner
71009641A
IN
Other
Enumeration date
12/26/2019
Last updated
11/05/2025
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