Organization Name: | CLAJON HEALTH SERVICES, LLC |
NPI Number: | 1306029996 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAVEL NELSON (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 322 Willow Ave Scotch Plains |
State: | NJ US |
Postal Code: | 070761128 |
Phone Number: | 9086256846 |
Fax Number: | 9083224564 |
NPI Enumeration Date: | 12/06/2007 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00029700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |