Organization · Type 2 NPI

Jackie Nelson, PLLC

Adult Mental Health Clinic/Center · Boise, ID

NPI number 1033740865 Active

Practice location

202 N 9th St Ste 401C
Boise, ID 83702-5770

Call (208) 639-9192 Map

Mailing address

4621 W Kendall St
Boise, ID 83706-2222

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1033740865

Jackie Nelson, PLLC's National Provider Identifier is 1033740865, issued on Jan 30, 2020. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Boise, ID. The record was last updated on Jan 30, 2020.