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Contact Information

JENNIFER L NELSON, DO
716 E 19TH ST
SIOUX FALLS, SD57105
 Phone: 605-444-8650
 Fax: 605-444-8651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JENNIFER L NELSON · (Female)

NPI # 1295772879
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/01/2006
Last updated 10/27/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 101467
  • MN License # 47059
  • SD License # 5496
  • SD Medicaid 5612862
  • SD Other 4993299 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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