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Individual

JEREMIAH NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2880 N TENAYA WAY STE 320, LAS VEGAS, NV 89128-0642
(702) 862-8226
(702) 862-8227
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD-45607
IA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
ME 92825
FL
208000000X
Pediatrics Physician
35099088
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
23921
NV
2080P0205X
Pediatric Endocrinology Physician
35099088
OH
2080P0205X
Pediatric Endocrinology Physician
ME0092825
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16865
BCBS
FL
01
2438274001
CIGNA
FL
01
297105
STAYWELL HEALTHY KIDS
FL
01
297631
AMERIGROUP
FL
01
489063073
HUMANA
FL
01
7134730
AETNA UNITED
FL
Enumeration date
11/18/2005
Last updated
09/18/2023
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