Ms Jennifer Marie Nelson, MA is a
Community/behavioral Health based in Golden Valley, Minnesota. Ms Jennifer Marie Nelson is licensed to practice in Minnesota (license number 02466) and her current practice location is
8085 Wayzata Blvd Suite 215, Golden Valley, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(206) 947-2645.
NPI number for Ms Jennifer Marie Nelson is 1912925017 and her current mailing address is 8085 Wayzata Blvd Suite 215, Golden Valley, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912925017.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Marie Nelson |
|---|
| Gender | Female |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 8085 Wayzata Blvd Suite 215, Golden Valley, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912925017
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 08/27/2021
Medical Identifiers
Medical identifiers for Ms Jennifer Marie Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912925017 | NPI | - | NPPES |
| 1912925017 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LH00008407 (Washington) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60181716 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH00008407 (Washington) | Secondary |
| 101YP2500X | Counselor - Professional | 00212 (Minnesota) | Secondary |
| 251S00000X | Community/behavioral Health | LH00008407 (Washington) | Secondary |
| 251S00000X | Community/behavioral Health | 02466 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Marie Nelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jennifer Marie Nelson, MA
8085 Wayzata Blvd Suite 215,
Golden Valley, MN 55426
Ph: (206) 947-2645 | Ms Jennifer Marie Nelson, MA
8085 Wayzata Blvd Suite 215,
Golden Valley, MN 55426
Ph: (206) 947-2645 |
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