Individual
JEREMIAH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2398
(304) 425-9541
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2398
(304) 425-9541
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
05/20/2026
Last updated
08/07/2026
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