NPI 1053457853

Tina D Nelson

Practitioner Social Worker Fpo, AE

Practice location

Address: Uss Kearsarge Lhd 3, Fpo, AE 09534
Phone: (757) 443-7397
Mailing address: 804 Long Cane Rdg, Evans, GA 30809-7260

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence P013290 (NC)

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Registry record

NPI: 1053457853
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2007
Record last updated: 17 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.