Individual
DR. JILL S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 N 96TH ST, SUITE 201, OMAHA, NE 68114-2497
(402) 330-4555
(402) 934-0945
Mailing address
909 N 96TH ST, SUITE 201, OMAHA, NE 68114-2497
(402) 330-4555
(402) 934-0945
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22549
NE
207N00000X
Dermatology Physician
33262
IA
207NP0225X
Pediatric Dermatology Physician
22549
NE
207NP0225X
Pediatric Dermatology Physician
33262
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255555000
—
NE
Enumeration date
08/30/2006
Last updated
07/11/2011
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