Individual
JASON D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
(218) 249-7050
Mailing address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
(218) 249-7050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R175110-9
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R-175110-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R1751109
—
MN
Enumeration date
06/17/2009
Last updated
01/19/2021
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