Individual
DR. JACKIE MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2250 N MILLER CAMPUS DR, LEHI, UT 84043-7233
(801) 662-1000
Mailing address
2250 N MILLER CAMPUS DR, LEHI, UT 84043-7233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11471209-2501
UT
Other
Enumeration date
06/10/2020
Last updated
12/14/2023
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