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Jennifer K Nelson, PA

Physician Assistant in Maplewood, MN. Individual provider (NPI-1).

NPI number1124309372
StatusActive
Last updated in NPPESOct 25, 2022

Details

NPI
1124309372
Entity type
Individual (NPI-1)
Name
Jennifer K Nelson
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2011
Certification date
Oct 25, 2022
Last updated
Oct 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10980MNYes

Practice location

1997 Sloan Pl Ste 17
Maplewood, MN 55117-2051

Phone 651-772-6251 · Fax 651-224-9661

Mailing address

2854 Highway 55
Suite 130
Eagan, MN 55121-2156

Phone 651-842-3378 · Fax 651-224-5273

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