DR. JERRY W NELSON M.D. NPI 1033234307

NPI Information

NPI: 1033234307
Provider Name: DR. JERRY W NELSON, M.D.
Classification: Pathology - 207ZF0201X
Entity Type: Individual

Specialization: Forensic Pathology

Address:
2111 E DAKOTA AVE
FRESNO, CA
ZIP 93726
Phone: (559) 459-1845
Get Directions

DR. Jerry W Nelson, M.D. is a forensic pathology pathology in Fresno, CA. The provider is a forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. DR. Jerry W Nelson, M.D. NPI is 1033234307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2111 E DAKOTA AVE
FRESNO, CA
ZIP 93726-805
Phone: (559) 459-1845

The enumeration date for this NPI number is 3/19/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZF0201X	Pathology	Forensic Pathology	A21897	CALIFORNIA	Yes
2	207ZP0101X	Pathology	Anatomic Pathology	A21897	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A22818	MEDICARE UPIN
2	00A218970	MEDICAID	CALIFORNIA
3	00A218970	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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