Individual
MRS. JESSICA ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
123 TRUXTON AVE, FORT WALTON BEACH, FL 32547-2460
(850) 863-1530
(850) 863-5548
Mailing address
123 TRUXTON AVE, FORT WALTON BEACH, FL 32547-2460
(850) 863-1530
(850) 863-5548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
03/10/2008
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