Individual
VERNICE NICOLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1313 SIBLEY BLVD, CALUMET CITY, IL 60409-2345
(708) 832-9908
(708) 832-9935
Mailing address
1313 SIBLEY BLVD, CALUMET CITY, IL 60409-2345
(708) 832-9908
(708) 832-9935
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010797
IL
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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