Jackie Nelson, PLLC
Jackie Nelson, PLLC is an Adult Mental Health Clinic/Center in Boise, Idaho. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
202 N 9th St Ste 401CBoise, ID 83702-5770
Phone: (208) 639-9192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|
Record details
| NPI number | 1033740865 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacquelyn Nelson — Owner And Counselor · (480) 316-5462 |
| NPI enumerated | January 30, 2020 |
| Last updated in NPPES | January 30, 2020 |
| Certification date | January 30, 2020 |
| Mailing address | 4621 W Kendall St, Boise, ID 83706-2222 |
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