DR. PHIL OTIS NELSON M.D. NPI 1063890754

NPI Information

NPI: 1063890754
Provider Name: DR. PHIL OTIS NELSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
146 RIDGE DR
JACKSON, MS
ZIP 39216
Phone: (601) 982-5793
Get Directions

DR. Phil Otis Nelson, M.D. is a diagnostic radiology radiology in Jackson, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Phil Otis Nelson, M.D. NPI is 1063890754. 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:

146 RIDGE DR
JACKSON, MS
ZIP 39216-109
Phone: (601) 982-5793
Fax: (601) 984-3631

The enumeration date for this NPI number is 5/13/2015 and was last updated on 5/13/2015.

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	2085R0202X	Radiology	Diagnostic Radiology	04082	MISSISSIPPI	Yes

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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