DR. Jacqueline Lee Nelson, M.D.

NPI #1548333206 in Fort Washakie, Wyoming

Provider Information

NPI Number: 1548333206
Entity Type: Individual
Name: DR. Jacqueline Lee Nelson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Nov 17, 2006
Last Updated: Nov 17, 2011

Practice Location

Address: 29 BLACK COAL DR
City: Fort Washakie
State: Wyoming
ZIP Code: 82514-0128
Phone: (307) 332-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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