Individual
DR. JODY LYNN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 S HIGHWAY 97, CANTONMENT, FL 32533-9779
(850) 982-0622
(850) 937-0717
Mailing address
1925 S HIGHWAY 97, CANTONMENT, FL 32533-9779
(850) 982-0622
(850) 937-0717
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
H2644
TX
207ZF0201X
Forensic Pathology Physician
Primary
ME 68416
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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