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NPI Code Detail

MEDICARE: DR. JAMES PATRICK NELSON DO

MEDICARE: DR. JAMES PATRICK NELSON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1184410110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES PATRICK NELSON DO
Provider Business Mailing Address
First Line : 8580 PURITAN ST
Second Line :
City : DOWNEY
State : CA
Zip : 90242-4460
Country : US
Telephone Number : 562-385-3354
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 70568
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37614-1707
Country : US
Telephone Number : 423-439-6209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2025
Last Update Date : 04/16/2025

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Directions to “ DR. JAMES PATRICK NELSON DO” Practice Location

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