Individual
JESSICA ANNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61584 SE LAPIS PL, BEND, OR 97702-3799
(509) 301-0523
Mailing address
61584 SE LAPIS PL, BEND, OR 97702-3799
(509) 301-0523
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OR
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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