Individual
JILL C NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.360863
OH
363L00000X
Nurse Practitioner
Primary
COA.17824-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143881
—
OH
Enumeration date
08/17/2015
Last updated
09/14/2016
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