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DR. LISA JUANITA NELSON M.D. NPI 1457519183


NPI Information

NPI: 1457519183
Provider Name: DR. LISA JUANITA NELSON, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
802 BREWSTER AVE
SOUTH COUNTY MENTAL HEALTH
REDWOOD CITY, CA
ZIP 94063
Phone: (650) 363-4111
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DR. Lisa Juanita Nelson, M.D. is a child and adolescent psychiatry psychiatry neurology in Redwood City, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Lisa Juanita Nelson, M.D. NPI is 1457519183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

802 BREWSTER AVE
SOUTH COUNTY MENTAL HEALTH
REDWOOD CITY, CA
ZIP 94063-510
Phone: (650) 363-4111
Fax: (650) 364-6927

The enumeration date for this NPI number is 5/29/2008 and was last updated on 5/29/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryG84794CALIFORNIAYes

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: 11/14/2023

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