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Individual
DR. JONATHAN MICHAEL NEILSON
Active
Individual
DR. JONATHAN MICHAEL NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9523151-3102
UT
363L00000X
Nurse Practitioner
9523151-4405
UT
363LF0000X
Family Nurse Practitioner
9523151-4405
UT
363LP0200X
Pediatric Nurse Practitioner
Primary
9523151-4405
UT
363LP2300X
Primary Care Nurse Practitioner
9523151-4405
UT
Other
Enumeration date
07/16/2019
Last updated
01/23/2025
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