Individual
MRS. JODI JANELL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC
Contact information
Practice address
51375 HUNTINGTON RD, LA PINE, OR 97739-9625
(541) 536-8060
Mailing address
63893 SUNSET DR, BEND, OR 97703-8407
(520) 780-8660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201393988RN
OR
363LW0102X
Women's Health Nurse Practitioner
Primary
201709233NP-PP
OR
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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