Individual
MR. JAMES DOUGLAS NELSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1902 FAIRMOUNT AVE, SAINT PAUL, MN 55105-1538
(320) 296-2212
Mailing address
1902 FAIRMOUNT AVE, SAINT PAUL, MN 55105-1538
(320) 296-2212
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2149464
MN
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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