Individual
DR. JAY PATRICK NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6031
(314) 251-6343
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8210
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0101288049
VA
2085R0202X
Diagnostic Radiology Physician
111377
GA
2085R0202X
Diagnostic Radiology Physician
Primary
2022019192
MO
2085R0202X
Diagnostic Radiology Physician
40628
OK
Other
Enumeration date
03/29/2017
Last updated
03/17/2026
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