Individual
JACOB AUSTIN BERNARDI NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6565
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
349852
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
04/08/2026
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