Individual provider · Type 1 NPI

Jessica Ann Nelson, LPN4

Licensed Practical Nurse · Connell, WA

NPI number 1053288589 Active

Practice location

1301 N Ephrata Ave
Connell, WA 99326-9601

Mailing address

111 S Palouse St
Ritzville, WA 99169-1529

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP61090847 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1053288589

Jessica Ann Nelson, LPN4's National Provider Identifier is 1053288589, issued on Oct 20, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Connell, WA. The record was last updated on Oct 20, 2025.