Individual
SCOTT L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1106 SOUTH ST, NACOGDOCHES, TX 75964-5986
(936) 564-8611
(936) 462-8489
Mailing address
PO BOX 94670, OKLAHOMA CITY, OK 73143-4670
(405) 682-3303
(405) 384-6793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP107495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018885601
—
TX
Enumeration date
12/14/2006
Last updated
07/21/2022
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