Individual
JACQUELINE J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-7200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3328
WI
367500000X
Certified Registered Nurse Anesthetist
D100610
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469619
—
IA
01
—
39204
WELLMARK BCBS
IA
05
—
44369200
—
WI
Enumeration date
11/08/2005
Last updated
03/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us