Individual
MS. JILL M NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
374A PAT HARALSON DR, BLAIRSVILLE, GA 30512-8409
(706) 745-5541
(706) 745-1361
Mailing address
PO BOX 1000, BLAIRSVILLE, GA 30514-1000
(706) 745-5541
(706) 745-1361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN107010
GA
Other
Enumeration date
09/26/2006
Last updated
02/22/2010
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