Provider Demographics
NPI:1144341850
Name:NELSON, JAMES JOSEPH (AP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:NELSON
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 NE 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6738
Mailing Address - Country:US
Mailing Address - Phone:561-703-7248
Mailing Address - Fax:
Practice Address - Street 1:316 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-2618
Practice Address - Country:US
Practice Address - Phone:561-703-7248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1910171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist