NPI 1134007552
Jarvis Dejuan Nelson
Practice location
- Address
- 9340 N Stoney Creek Rd, Carleton, MI 48117-9333
- Phone
- (734) 770-5920
- Mailing address
- 3465 Baycrest Dr, Monroe, MI 48162-4504
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1134007552
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Aug 2025
- Record last updated
- 25 Aug 2025
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.