Individual
JENNIFER LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1409
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27007
NORIDIAN
ND
01
—
27008
BCBS ND
ND
05
—
51143
—
ND
01
—
99G48PE
BCBS MN
MN
Enumeration date
10/17/2006
Last updated
01/05/2026
Update your record
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