Individual
JASON MARTEZ NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
626 CHESTNUT ST, LEWISVILLE, AR 71845-8502
(870) 921-3800
(870) 921-3841
Mailing address
829 HALBERT ST, MALVERN, AR 72104-2607
(501) 332-4400
(501) 332-4403
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
03/06/2019
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