Individual
JASON H NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1525 E. WINDMILL LANE, SUITE 201, LAS VEGAS, NV 89123-1903
(702) 434-6920
(702) 434-1524
Mailing address
14 DAISY MEADOW TERRACE, HENDERSON, NV 89074-1500
(702) 263-1199
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11453
NV
207XP3100X
Pediatric Orthopaedic Surgery Physician
11034571-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506550
—
NV
Enumeration date
03/07/2006
Last updated
03/27/2019
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