Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Nelson, DO

Individual provider Internal Medicine Physician · NPI 1932528056

Jennifer Nelson, DO is a Pediatric Medicine in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 E McDowell Rd, Phoenix, AZ 85006 — (602) 839-0000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 007454 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 007454 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence R2379 (AZ)

Record details

NPI number1932528056
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2014
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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