Individual
JENNIFER LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
210 HIGHWAY 2 W STE 7, DEVILS LAKE, ND 58301-2913
(701) 351-3907
Mailing address
121 ANTLER DR, DEVILS LAKE, ND 58301-8923
(701) 351-3907
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
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