Healthcare Provider Details

I. General information

NPI: 1831234889
Provider Name (Legal Business Name): KATHARINE JOYER NELSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHARINE LEE JOYER MD

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 JACKSON ST
SAINT PAUL MN
55101-2502
US

IV. Provider business mailing address

4101 WOOLWORTH AVE
OMAHA NE
68105-1850
US

V. Phone/Fax

Practice location:
  • Phone: 651-254-4786
  • Fax:
Mailing address:
  • Phone: 651-421-6267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19409
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: