Individual
MS. NICOLE M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PMHNP-BC
Contact information
Practice address
5424 W HIGHWAY 290 STE 108, AUSTIN, TX 78735-8842
(512) 430-1130
(512) 677-6806
Mailing address
5424 W HIGHWAY 290 STE 108, AUSTIN, TX 78735-8842
(512) 430-1130
(512) 677-6806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1005118
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1005118
TX
Other
Enumeration date
11/29/2022
Last updated
05/14/2025
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