Individual
JOSEPH P NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4411 HIGHWAY 5 N, BRYANT, AR 72022-7005
(501) 847-0289
Mailing address
4411 HIGHWAY 5 N, BRYANT, AR 72022-7005
(501) 847-0289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3403
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007127460
AETNA
AR
01
—
03070021201
QUALCHOICE
AR
05
—
148895001
—
AR
01
—
2409976003
CIGNA
AR
01
—
5M298
BCBS
AR
01
—
7229999
HEALTHLINK
AR
Enumeration date
02/13/2006
Last updated
05/28/2008
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