Individual
JORDAN ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1511 CHRISTY DR, JEFFERSON CITY, MO 65101-2854
(573) 632-2777
Mailing address
1511 CHRISTY DR, JEFFERSON CITY, MO 65101-2854
(573) 632-2777
(573) 632-0248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020022417
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2020022417
MO
Other
Enumeration date
07/20/2020
Last updated
05/15/2026
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