Individual
CHARLA JEAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 15TH ST, ASHLAND, KY 41101-7626
(606) 420-0204
Mailing address
201 CRESTVIEW RD, RUSSELL, KY 41169-1462
(606) 571-1732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1110597
KY
163W00000X
Registered Nurse
354822
OH
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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