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

Mischelle Nelson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366069023

Mischelle Nelson, MD is a Student in an Organized Health Care Education/Training Program in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1221 E State St
Rockford, IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1086
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 125077199 (IL)

Record details

NPI number1366069023
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address1221 E State St, Rockford, IL 61104-2231

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