Individual
DAVID ENOCH NELSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4900 BROADWAY, GARY, IN 46408-4605
(219) 237-5170
(219) 321-1931
Mailing address
213 N RACINE AVE STE 100, CHICAGO, IL 60607-1644
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024183960
VA
363L00000X
Nurse Practitioner
1235449
TX
363L00000X
Nurse Practitioner
202214458NP-PP
OR
363L00000X
Nurse Practitioner
31372
TN
363L00000X
Nurse Practitioner
Primary
71003530A
IN
363L00000X
Nurse Practitioner
A167956
IA
363L00000X
Nurse Practitioner
APRN11046807
FL
363L00000X
Nurse Practitioner
C-APN.0003892-C-NP
CO
363LF0000X
Family Nurse Practitioner
041330644
IL
363LF0000X
Family Nurse Practitioner
Primary
28149900A
IN
Other
Enumeration date
01/03/2011
Last updated
06/03/2026
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