Organization Name: | GLORIAJEAN NELSON, FNP-C, CWOCN, PLLC |
NPI Number: | 1023472099 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLORIA JEAN NELSON (OWNER) |
Mailing Address: | 1100 E Monroe St Ste 523 Globe |
State: | AZ US |
Postal Code: | 855011363 |
Phone Number: | 9283022220 |
Fax Number: | 9283022218 |
NPI Enumeration Date: | 04/06/2016 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |