Healthcare Provider Details

I. General information

NPI: 1811201932
Provider Name (Legal Business Name): JOCELYNE M NIELSEN R.N., C.N.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2010
Last Update Date: 07/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 BRUSSELS ST
SAN FRANCISCO CA
94134-1711
US

IV. Provider business mailing address

465 BRUSSELS ST
SAN FRANCISCO CA
94134-1711
US

V. Phone/Fax

Practice location:
  • Phone: 415-468-4680
  • Fax: 415-468-5897
Mailing address:
  • Phone: 415-468-4680
  • Fax: 415-468-5897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN 212698/CNS 156
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: