| Doctor Name: | MS. RENEE LUCILLE NELSON |
| NPI Number: | 1720177702 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 301863 |
| Business Practice Address: | 4500 Stuart St Moncrief Army Community Hospital/credentials Fort Jackson, SC - 292075720 |
| Business Phone Number: | 8037512618 |
| Business Fax Number: | 8037512689 |
| Mailing Address: | 166 Fallstaff Rd, COLUMBIA |
| State: | SC |
| Postal Code: | 292298067 |
| Phone Number: | 8036996208 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 301863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |