Jacalyn A Nelson, MD
Internal Medicine, Sleep Medicine in Fitchburg, WI. Individual provider (NPI-1).
NPI number1063430833
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1063430833
- Entity type
- Individual (NPI-1)
- Name
- Jacalyn A Nelson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RS0012X | Internal Medicine, Sleep Medicine | 49405-20 | WI | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 49405-020 | WI |
Practice location
2844 Index RdFitchburg, WI 53713-3117
Phone 608-229-7979 · Fax 608-229-8110
Mailing address
2844 Index RdFitchburg, WI 53713-3117
Phone 608-229-7979 · Fax 608-229-8110
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