Individual
JESSICA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071
Mailing address
6209 BROOKES WAY, MANHATTAN, KS 66502-1583
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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