Individual
JACQUELINE D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 5TH ST N, CARRINGTON, ND 58421
(701) 652-2515
(701) 652-3595
Mailing address
820 5TH ST N, PO BOX 79, CARRINGTON, ND 58421-1223
(701) 652-2515
(701) 652-3595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0368
ND
363AM0700X
Medical Physician Assistant
PAC0368
ND
Other
Enumeration date
06/19/2007
Last updated
08/01/2018
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