| Doctor Name: | SCOTT ALLEN NELSON |
| NPI Number: | 1376716621 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA 2964 |
| Business Practice Address: | 801 Oak St Green Cove Springs, FL - 320434317 |
| Business Phone Number: | 9042762044 |
| Business Fax Number: | 9042762106 |
| Mailing Address: | 1893 Kingsley Ave, Suite C ORANGE PARK |
| State: | FL |
| Postal Code: | 320734491 |
| Phone Number: | 9042762044 |
| Fax Number: | 9042762106 |
| NPI Enumeration Date: | 04/08/2008 |
| NPI Last Update Date: | 12/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA 2964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |