NPI 1093050510

Irene Ann Nelson, PAC

Practitioner Physician Assistant Jackson, WY

Practice location

Address: 1490 Gregory Lane, Jackson, WY 83002
Phone: (307) 732-1694
Fax: (307) 732-1693
Mailing address: PO B 11659, Jackson, WY 83002

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 158 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1093050510
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2012
Record last updated: 10 Dec 2012

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.