Jolene Nelson in Maple Grove - Physician Assistant
Jolene Nelson - NPI 1578540613
Jolene Nelson is a Physician Assistant in Maple Grove, Minnesota. Jolene Nelson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jolene Nelson is 1578540613. The last update date is 2015-03-31.
Jolene Nelson's current location address is 15800 95th Ave N, Maple Grove, Minnesota. You can contact this provider via phone number 9529931440. The mailing address for Jolene Nelson is 15800 95th Ave N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jolene Nelson |
|---|---|
| Address | 15800 95th Ave N, Maple Grove, Minnesota |
| Phone Number | 9529931440 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578540613 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2015-03-31 |
Provider Mailing Address Detail
| Address | 15800 95th Ave N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694400 |
| Phone Number | 9529931440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9454 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Jolene Nelson's unique identification number?
The Jolene Nelson has been assigned the NPI (National Provider Identifier) Number 1578540613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jolene Nelson's physical address?
The Jolene Nelson is physically located at 15800 95Th Ave N, in the city of Maple Grove, MN, with the postal code 553694400.
What is Jolene Nelson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jolene Nelson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Jolene Nelson receive its 1578540613 assignment from the Centers for Medicare & Medicaid Services?
The Jolene Nelson was assigned its 1578540613 by the Centers for Medicare & Medicaid Services on 2005-12-29.
As of what date were the Jolene Nelson's details last updated?
The information pertaining to the Jolene Nelson, including its address, specialty, and other details, was most recently updated on 2015-03-31.
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