Individual provider · Type 1 NPI

Jayne Nelson, PA-C

Medical Physician Assistant · Boise, ID

NPI number 1073731196 Active

Practice location

1910 University Dr, MS-1351
Boise, ID 83725-0002

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-122 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1073731196

Jayne Nelson, PA-C's National Provider Identifier is 1073731196, issued on Apr 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Jul 9, 2007.