Individual
JERALYN JO NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
21 E STATE ST, COLUMBUS, OH 43215-4281
(574) 546-1900
Mailing address
4912 LEFFERSON RD, MIDDLETOWN, OH 45044-6846
(513) 267-5613
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023152804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0035518
STATE LICENSE
OH
Enumeration date
11/21/2023
Last updated
12/09/2024
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