| Doctor Name: | JOHN STEPHEN NELSON |
| NPI Number: | 1043304561 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N. |
| License Number: | 118507 |
| Business Practice Address: | 991 West Hudson Blvd. Gastonia, NC - 28052 |
| Business Phone Number: | 7048535038 |
| Business Fax Number: | 7048626113 |
| Mailing Address: | 991 West Hudson Blvd., GASTONIA |
| State: | NC |
| Postal Code: | 28052 |
| Phone Number: | 7048535038 |
| Fax Number: | 7048626113 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 118507 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |