Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB NELSON, DO
ActiveJACOB NELSON, DO is a Pediatrics healthcare provider located in SAINT ANTHONY, Idaho. NPI 1144675679 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SAINT ANTHONY, ID
Registration Details
- NPI Number
- 1144675679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2016 (10.313675631859 yrs)
- Last Updated
- Dec 19, 2025
- License
-
O-1220 (ID)
Practice Information
- Address
-
PO BOX 18SAINT ANTHONY, ID, 834450018Browse ID providers · Browse ZIP 83445
- Phone
- 2083564900
- Fax
- 2086244112
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.