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JACOB BUTLER NELSON PA-C NPI 1487938833


NPI Information

NPI: 1487938833
Provider Name: JACOB BUTLER NELSON, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: TALLAHASSEE ORTHOPEDIC CLINIC III PL

PECOS Registration: Yes

Address:
2605 WELAUNEE BLVD
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 877-8174
Get Directions

Jacob Butler Nelson, PA-C is a physician assistant in Tallahassee, FL with 13 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Jacob Butler Nelson, PA-C NPI is 1487938833. 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:

2605 WELAUNEE BLVD
TALLAHASSEE, FL
ZIP 32308-697
Phone: (850) 877-8174
Fax: (844) 261-6839

The NPI 1487938833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/22/2021.


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
1363AS0400XPhysician AssistantSurgicalPA9109474FLORIDANo
2363A00000XPhysician AssistantPA9109474FLORIDAYes

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

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.