Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELINE LEE NELSON, M.D.
ActivePediatrics · FORT WASHAKIE, WY
Registration Details
- NPI Number
- 1548333206
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2006 (19.487130189419 yrs)
- Last Updated
- Nov 17, 2011
- License
-
4681A (WY)
Practice Information
- Address
-
29 BLACK COAL DRFORT WASHAKIE, WY, 825140128Browse WY providers · Browse ZIP 82514
- Phone
- 3073327300
- Fax
- 3073327464
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FORT WASHAKIE, WY
| Name | Credential | NPI |
|---|---|---|
| LOUISA BENSON MOOK | — | 1710229810 |
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.