Individual
JENNIFER ANN NEILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 SHIPYARD BLVD, WILMINGTON, NC 28403-8052
(910) 662-9300
(910) 662-9301
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9300
(910) 662-9301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2002-00969
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
200200969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142K8
BCBS
NC
01
—
214649
MEDCOST
NC
05
—
5904020
—
NC
Enumeration date
05/20/2006
Last updated
12/15/2022
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