Individual
JILL NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
835 MERIDIAN AVE, COZAD, NE 69130-1754
(308) 784-4630
Mailing address
PO BOX 207, COZAD, NE 69130-0207
(308) 784-4630
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20657
NE
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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