Jonathan Michael Nelson

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

R094770 Issued in AR

Practice address

3873 N Parkview Dr
Fayetteville, AR 72703-6286

Phone

(479) 571-7070

NPI assigned

Nov 17, 2017

Last updated

Nov 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1205340981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S GILES AVE",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727349589",
            "telephone_number": "479-790-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3873 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036286",
            "telephone_number": "479-571-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AR",
            "license": "R094770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Nelson
• Emily Ruth Nelson, ATC
• Haley Nelson, DO
• Inger Warren Nelson, LCSW
• Jessie Lynn Nelson, M.A.
• Melissa F Nelson, LPC
• Natasha F. Nelson, LPTA
• Steven Wayne Nelson, P.T.
• Arlene Urmaza Nepomuceno, M.D.
• Rose A Netherland

• Medical-Surgical Registered Nurse in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Medical-Surgical Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.