Jennifer Wiles Nelson DO

NPI 1336222512 - Family Medicine - 207Q00000X

NPI Details
NPI 1336222512
Gender Female
Enumeration Date 10/23/2006
Last Updated 03/09/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
2850 LONE OAK RD
SUITE 4
PADUCAH KY, 42003-8043, US
Phone (270) 554-3904
Fax (270) 534-8928
Business Location
2850 LONE OAK RD
SUITE 4
PADUCAH KY, 42003-8043, US
Phone (270) 554-3904
Fax (270) 534-8928
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 02847
Remove 1336222512 NPI Number
 

According to our database, Mrs. Jennifer Wiles Nelson DO NPI is 1336222512, taxonomy code is 207Q00000X and license number is 02847, license state is located at Kentucky. Jennifer Wiles Nelson DO physically located at 2850 Lone Oak Rd, Paducah KY, 42003-8043. NPI Number Jennifer Wiles Nelson DO has the Individual type.

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1336222512 NPI number is provided on an as is basis without warranty of any kind. 1336222512 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Wiles Nelson DO are for informational purposes only.