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

Jolene Nelson

Individual provider Physician Assistant · NPI 1578540613

Jolene Nelson is a Physician Assistant in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

15800 95th Ave N
Maple Grove, MN 55369-4400
Phone: (952) 993-1440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9454 (MN)

Record details

NPI number1578540613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESMarch 31, 2015
Mailing address6465 Wayzata Blvd, Suite 315, St Louis Park, MN 55426-1728

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