| Jill Herman Nelson, Pa | |
|
611 Sw Federal Hwy Suite C Stuart FL 34994-2925 | |
| (772) 285-2227 | |
| Not Available |
| Full Name | Jill Herman Nelson, Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 611 Sw Federal Hwy, Stuart, Florida |
| Authorized Official Name and Position | Jill Angela Herman Nelson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7722852227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Herman Nelson, Pa 611 Sw Federal Hwy Suite C Stuart FL 34994-2925 Ph: (772) 285-2227 | Jill Herman Nelson, Pa 611 Sw Federal Hwy Suite C Stuart FL 34994-2925 Ph: (772) 285-2227 |
| NPI Number | 1174558373 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174558373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PY7022 (Florida) | Primary |
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