Individual
JENNIFER M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1824 FOREST TRL, FORT WAYNE, IN 46845-9094
(260) 450-2870
(260) 637-3698
Mailing address
1824 FOREST TRL, FORT WAYNE, IN 46845-9094
(260) 450-2870
(260) 637-3698
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
07-321
IN
Other
Enumeration date
12/18/2007
Last updated
09/17/2009
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