Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSIE LAUREN NELSON, PA-C
ActiveJESSIE LAUREN NELSON, PA-C is a Physician Assistant healthcare provider located in BLAINE, Minnesota. NPI 1255860268 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLAINE, MN
Registration Details
- NPI Number
- 1255860268
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2017 (9.1670336776522 yrs)
- Last Updated
- May 11, 2021
- License
-
12434 (MN)
Practice Information
- Address
-
11225 ULYSSES ST NEBLAINE, MN, 554344261Browse MN providers · Browse ZIP 55434
- Phone
- 7633022600
- Fax
- 7633022601
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN W STOULIL | PAC | 1104800358 |
| RICHARD B HATHAWAY | PAC | 1710961966 |
| CYNTHIA S JANSEN | PAC | 1457335044 |
| MICHELLE MANOS | PA-C | 1760539746 |
| TIFFANY S HALL | PA-C | 1205012424 |
| MR. SHANE M. TSUBAKI | PA-C | 1336309384 |
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.