Individual
JAMES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
640 JACKSON STREET, MS 11102M, ST. PAUL, MN 55101-2502
(651) 254-4887
(651) 254-1603
Mailing address
8170 33RD AVE S - PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-4887
(651) 254-1603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2373
MN
Other
Enumeration date
10/27/2015
Last updated
12/22/2015
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