Jennifer A Nelson
Nurse Practitioner - Pediatrics
111 Otis Smith Dr
Clarksville
, Tennessee 37043-8940
Jennifer A Nelson
Nurse Practitioner - Pediatrics
111 Otis Smith Dr
Clarksville
, Tennessee 37043-8940
(931) 553-4006
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jennifer A Nelson
- 111 Otis Smith Dr
- Clarksville, TN
- Zip : 37043-8940
- Fax : (931) 553-4006
- Phone : (931) 553-6666
Second Address
- Jennifer A Nelson
- 111 Otis Smith Dr
- Clarksville, TN
- Zip : 37043-8940
- Fax : (931) 553-4006
- Phone : (931) 553-6666
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 13244 | TN |
National Provider Identifier
| NPI | 1033423074 |
|---|---|
| Provider Name | Jennifer A Nelson |
| First Address | Clarksville, TN 37043-8940 |
| Second Address | Clarksville, TN 37043-8940 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2010 |
| Last Update Date | 06/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.