Individual
JESSICA ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, DNP
Contact information
Practice address
1000 HEALTH CENTER ROAD, KYLE, SD 57752-0540
(605) 455-2451
Mailing address
PO BOX 7, KADOKA, SD 57543-0007
(717) 752-7380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R054275
SD
163W00000X
Registered Nurse
RN615417
PA
363LF0000X
Family Nurse Practitioner
CP001971
SD
363LF0000X
Family Nurse Practitioner
SP018047
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP001971
SD
Other
Enumeration date
09/28/2017
Last updated
08/24/2022
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