| Doctor Name: | JASON LYNN NELSON |
| NPI Number: | 1174953202 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N. |
| License Number: | 128114 |
| Business Practice Address: | 1800 N 16th St Suite 1 Clarinda, IA - 516321101 |
| Business Phone Number: | 7125422388 |
| Business Fax Number: | 7125422984 |
| Mailing Address: | 211 Forbes St, ESSEX |
| State: | IA |
| Postal Code: | 516383024 |
| Phone Number: | 7123031865 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2013 |
| NPI Last Update Date: | 11/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 128114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |