Jessie Lauren Nelson, PA-C

NPI #1255860268 in Blaine, Minnesota

Provider Information

NPI Number: 1255860268
Entity Type: Individual
Name: Jessie Lauren Nelson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 5, 2017
Last Updated: May 11, 2021

Practice Location

Address: 11225 ULYSSES ST NE
City: Blaine
State: Minnesota
ZIP Code: 55434-4261
Phone: (763) 302-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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