Individual
JESSIE LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 607-3908
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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