Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN GREGG NELSON, PA-C
ActiveJUSTIN GREGG NELSON, PA-C is a Medical Physician Assistant healthcare provider located in BLACKFOOT, Idaho. NPI 1790403178 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BLACKFOOT, ID
Registration Details
- NPI Number
- 1790403178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2022 (4.0149395829043 yrs)
- Last Updated
- Oct 9, 2024
- License
-
4461378 (ID)
Practice Information
- Address
-
98 POPLAR STBLACKFOOT, ID, 832211758Browse ID providers · Browse ZIP 83221
- Phone
- 2087854100
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. STACY COOPER | PA-C | 1518157544 |
| RYAN BLAIR KILLPACK | PA-C | 1114405396 |
| SCOTT RYAN MANGUM | PA-C | 1043180730 |
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.