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Organization
B NELSON LLC
Active
Organization
B NELSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE STEPHANIE NELSON CRNP (AUTHORIZED OFFICIAL)
(856) 423-7700
Entity
Organization
Contact information
Practice address
3091 ENTERPRISE DR STE 202, STATE COLLEGE, PA 16801-3099
(610) 570-5639
Mailing address
175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/23/2024
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