Individual
DR. JEANNE P. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PH.D.
Contact information
Practice address
3007 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-5393
(256) 882-2003
(256) 705-4630
Mailing address
PO BOX 18084, HUNTSVILLE, AL 35804-8084
(256) 882-2003
(256) 705-4630
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
770
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-099348
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152484
—
AL
01
—
51136865
BLUE CROSS OF ALABAMA
AL
Enumeration date
08/08/2006
Last updated
01/06/2017
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