Individual
MS. JUDITH MILLS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10475 CENTURION PKWY N, SUITE 303, JACKSONVILLE, FL 32256-5003
(904) 399-0350
(904) 399-5914
Mailing address
11945 SAN JOSE BLVD, STE 300, JACKSONVILLE, FL 32223-1627
(904) 399-0350
(904) 399-5914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292104900
—
FL
Enumeration date
07/25/2006
Last updated
01/07/2016
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