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Individual
JARED D NIELSON
Active
Individual
JARED D NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6593690-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
1053263
TX
363LF0000X
Family Nurse Practitioner
6593690-4405
UT
Other
Enumeration date
02/27/2019
Last updated
06/03/2026
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