Jeri A Nelson in Winnebago - Adolescent Medicine
Jeri A Nelson - NPI 1700948502
Jeri A Nelson is a Adolescent Medicine in Winnebago, Wisconsin. Jeri A Nelson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jeri A Nelson is 1700948502. The last update date is 2023-03-07.
Jeri A Nelson's current location address is 1300 South Dr., Winnebago, Wisconsin. You can contact this provider via phone number 9202354910 and fax number 9202362931. The mailing address for Jeri A Nelson is 1300 South Dr., Winnebago, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeri A Nelson |
|---|---|
| Address | 1300 South Dr., Winnebago, Wisconsin |
| Phone Number | 9202354910 |
| Fax Number | 9202362931 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700948502 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1300 South Dr. |
|---|---|
| City | Winnebago |
| State | Wisconsin (WI) |
| Post Code | 549850009 |
| Phone Number | 9202354910 |
| Fax Number | 9202362931 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 21057 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30114800 | WI | -- | |
| 21057 | WI | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeri A Nelson by the Centers for Medicare & Medicaid Services?
The Jeri A Nelson has been assigned the NPI (National Provider Identifier) 1700948502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jeri A Nelson's physical address?
The Jeri A Nelson is physically located at 1300 South Dr., in the city of Winnebago, WI, with the postal code 549850009.
What is Jeri A Nelson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeri A Nelson is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700948502 to Jeri A Nelson?
The Centers for Medicare & Medicaid Services originally issued the 1700948502 to Jeri A Nelson on 2006-12-15.
When was the Jeri A Nelson's information last updated?
The Jeri A Nelson's information was last updated on 2023-03-07.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC