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Individual

JASON LYNN NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
1800 N 16TH ST, SUITE 1, CLARINDA, IA 51632-1101
(712) 542-2388
(712) 542-2984
Mailing address
211 FORBES ST, ESSEX, IA 51638-3024
(712) 303-1865

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
128114
IA

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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