JACKIE NELSON PLLC NPI 1033740865

NPI Information

JACKIE NELSON, PLLC is an adult mental health clinic center in Boise, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JACKIE NELSON, PLLC NPI is 1033740865. The provider is registered as an organization entity type.

The provider's business location address is:

202 N 9TH ST STE 401C
BOISE, ID
ZIP 83702-770
Phone: (208) 639-9192

The provider's authorized official is Jacquelyn Nelson .
The authorized official title is Owner And Counselor and has the following contact phone number (480) 316-5462.

The enumeration date for this NPI number is 1/30/2020 and was last updated on 1/30/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.