Jordan Elizabeth Nelson, DMD
Dentist in Jefferson City, MO. Individual provider (NPI-1).
NPI number1669080214
StatusActive
Last updated in NPPESMay 15, 2026
Details
- NPI
- 1669080214
- Entity type
- Individual (NPI-1)
- Name
- Jordan Elizabeth Nelson
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2020
- Certification date
- May 15, 2026
- Last updated
- May 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2020022417 | MO | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 2020022417 | MO |
Other names
- Jordan Immel (Former Name)
Practice location
1511 Christy DrJefferson City, MO 65101-2854
Phone 573-632-2777
Mailing address
1511 Christy DrJefferson City, MO 65101-2854
Phone 573-632-2777 · Fax 573-632-0248
Other practice locations
1125 Madison St
Jefferson City, MO 65101-5227
Jefferson City, MO 65101-5227
Phone 573-632-5000 · Fax 573-634-2033
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All 28 Dentist providers in Jefferson City · All 1,897 providers in Jefferson City
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