Individual
JAY E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3343
Mailing address
109 MOUNT WOOD RD, WHEELING, WV 26003-2632
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26915
WV
367500000X
Certified Registered Nurse Anesthetist
COA.00337-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065806000
—
WV
05
—
2196690
—
OH
Enumeration date
07/13/2006
Last updated
02/20/2015
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