Individual
MRS. JENNIFER NICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3507 S RANCH HOUSE PKWY, GILBERT, AZ 85297-4945
(480) 279-8200
Mailing address
21828 E CREOSOTE DR, QUEEN CREEK, AZ 85142-4931
(801) 362-5576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4164458
AZ
235Z00000X
Speech-Language Pathologist
SLP6233
AZ
Other
Enumeration date
05/31/2008
Last updated
12/06/2010
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