Individual
JESSICA ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN4
Contact information
Practice address
1301 N EPHRATA AVE, CONNELL, WA 99326-9601
(509) 543-5903
Mailing address
111 S PALOUSE ST, RITZVILLE, WA 99169-1529
(509) 986-6519
(509) 986-6519
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61090847
WA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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