Provider Demographics
NPI:1972390409
Name:NELSON, JAMIE LOUISE
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LOUISE
Last Name:NELSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13388 DIJON DR E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-3326
Mailing Address - Country:US
Mailing Address - Phone:407-338-2304
Mailing Address - Fax:
Practice Address - Street 1:13388 DIJON DR E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-3326
Practice Address - Country:US
Practice Address - Phone:407-338-2304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula