Individual
JESSICA ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 NW 5TH ST STE 101, REDMOND, OR 97756-1869
(541) 526-6635
(541) 526-6636
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 526-6635
(541) 526-6636
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200850107NP
OR
367A00000X
Advanced Practice Midwife
2776314402
UT
Other
Enumeration date
03/12/2007
Last updated
04/17/2020
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