Individual
MS. JENNY LOUETTA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 E ST. NW, WASHINGTON, DC 20037
(022) 357-4752
(254) 537-6001
Mailing address
PO BOX 20308, WACO, TX 76702-0308
(254) 537-6868
(254) 537-6869
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06082
TX
Other
Enumeration date
11/10/2008
Last updated
11/08/2024
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