Individual
GENA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
4511 STONEWALL ST, GREENVILLE, TX 75401-5951
(903) 454-7200
(903) 454-7204
Mailing address
4511 STONEWALL ST, GREENVILLE, TX 75401-5951
(903) 454-7200
(903) 454-7204
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
688735
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP115347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
688735
STATE LICENSES
TX
Enumeration date
02/23/2007
Last updated
02/05/2019
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