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JILL HERMAN NELSON PA NPI 1174558373


NPI Information

NPI: 1174558373
Provider Name: JILL HERMAN NELSON, PA
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
611 SW FEDERAL HWY
SUITE C
STUART, FL
ZIP 34994
Phone: (772) 285-2227
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JILL HERMAN NELSON, PA is an adult mental health clinic center in Stuart, FL. 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. JILL HERMAN NELSON, PA NPI is 1174558373. The provider is registered as an organization entity type.

The provider's business location address is:

611 SW FEDERAL HWY
SUITE C
STUART, FL
ZIP 34994-925
Phone: (772) 285-2227

The provider's authorized official is Jill Angela Herman Nelson .
The authorized official title is Clinical Psychologist and has the following contact phone number (772) 285-2227.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/22/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthPY7022FLORIDAYes

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: 5/5/2024

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