Individual
JACQUELYN M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5323
Mailing address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN268231L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2381695
—
OH
Enumeration date
03/29/2006
Last updated
10/07/2020
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