Individual
KELLY JO NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
260 ARSENAL PLACE, WATERTOWN, MA 02472-4054
(888) 897-1887
(857) 343-8192
Mailing address
10121 PINE AVE, TRUCKEE, CA 96161-4856
(530) 587-6022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209012197
IL
363LF0000X
Family Nurse Practitioner
Primary
95025001
CA
363LF0000X
Family Nurse Practitioner
Primary
RN2368035
MA
Other
Enumeration date
03/05/2015
Last updated
02/17/2026
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