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General NPI Number Information
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NPI Number | 1609035922
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Entity Type | Individual
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Provider Name | JENNIFER L. NELSON ED.S.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 512 W PHILLIP AVE
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City | NORFOLK
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State | NE
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Zip | 68701-5208
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Country | US
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Telephone | 402-644-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 55306 RODEO RD
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City | NORFOLK
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State | NE
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Zip | 68701-4644
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Country | US
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Telephone | 308-991-9035
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 20250009792
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License Number State | NE
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