Individual
JUDITH D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
20 S PLUM ST, VERMILLION, SD 57069
(605) 624-9111
(605) 624-6636
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-4540
(605) 328-4531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP0371
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000371
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6824460
—
SD
Enumeration date
06/30/2005
Last updated
06/11/2018
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