Individual provider · Type 1 NPI

Justin Gregg Nelson, PA-C

Medical Physician Assistant · Blackfoot, ID

NPI number 1790403178 Active

About NPI 1790403178

Justin Gregg Nelson, PA-C's National Provider Identifier is 1790403178, issued on Aug 22, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Blackfoot, ID. The record was last updated on Oct 9, 2024.