MS. IRENE ANN NELSON


Address: 1490 Gregory Lane, Jackson, WY 83002
Phone: 3077321694

MS. IRENE ANN NELSON (NPI# 1093050510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093050510
Entity Type Individual
Full Name MS. IRENE ANN NELSON
Credential PA-C
Practice Address 1490 Gregory Lane
Jackson
WY 83002
Mailing Address Po B 11659
Jackson
WY 83002
Practice Telephone 3077321694
Practice Fax Number 3077321693
Mailing Telephone 3077321694
Mailing Fax Number 3077321693
Enumeration Date 2012-12-10
Last Update Date 2012-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 158 WY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCCPA 1024755 01

Other Providers IRENE NELSON

NPI Name Taxonomy Address Enumeration
1134406614 Irene Rae Nelson Community Health Worker 3449 E Rezanof Dr, Kodiak, AK 99615-6952 2011-11-10
1376865899 Irene Nelson Counselor 400 E Sheridan Rd, Melbourne, FL 32901-3122 2010-02-25

Office Location

Street Address 1490 GREGORY LANE
City JACKSON
State WY
Zip Code 83002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194268227 Heather Finkel Psychologist 1490 Gregory Lane, Jackson, WY 83001-0946 2016-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659836336 Casey Orzech Registered Nurse 4584 Fishing Club Drive, Jackson, WY 83002 2019-02-06
1548590102 Amy Pitman Social Worker 460 Cache Street, Jackson, WY 83002 2010-01-05
1669606943 Canyon River Staffing Nursing Care 265 Blair Dr, Apt A, Jackson, WY 83002 2009-05-14
1477745842 Catherine Haynes Wuthrich Psychiatry & Neurology 2092 Lilac Lane, Jackson, WY 83002 2007-08-09
1952518086 Jennifer Agger Kandolin Counselor 420 South Jackson St., Jackson, WY 83002 2007-05-17
1992828503 Ann M Fenn Obstetrics & Gynecology 62 Redmond St, Jackson, WY 83002 2007-04-09
1295863504 Chad Roberts Optometrist 110 Buffalo Way, Ste A, Jackson, WY 83002 2007-02-28
1972645315 Wyoming Eye Care Inc PC Optometrist 110 Buffalo Way St A, Jackson, WY 83002 2007-02-13
1386780237 Charles F Harris Physician Assistant 982 W. Broadway, Jackson, WY 83002 2007-01-29
1639249550 Laura Vignaroli Family Medicine 62 Redmond, Jackson, WY 83002 2006-11-08
Find all providers in zip 83002

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942834494 Emily Amburn Physician Assistant 2968 N Highland Ave, Jackson, TN 38305-3409 2020-02-24
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1972161891 Allison Taylor Physician Assistant 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 2019-06-05
1306302328 Chloe A Goldfarb Physician Assistant 21 Shoal Rd, Jackson, NJ 08527-4025 2019-02-14
1447722558 Casey James Elliott Physician Assistant 747 Oakwood St, Jackson, MS 39202-1121 2018-12-31
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1982194551 Samantha Lynn Denoville Physician Assistant 1 Kensington Ct, Jackson, NJ 08527-1292 2018-05-18
1104320308 Dalton Glenn Weaver Physician Assistant 708 N Highland Ave, Jackson, TN 38301-4829 2018-03-21
1336669258 Whitney J Peterson Physician Assistant 501 Marshall St Ste 301, Jackson, MS 39202-1687 2017-06-21
1922541093 Jacob Carpenter Physician Assistant 2497 N West St, Jackson, MS 39216-4409 2016-11-22
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 83002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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