Betty Jean Nielsen, RN

Individual provider Active NPI Maternal Newborn Registered Nurse · White Plains, KY

NPI 1245425602 · NPPES record last updated Sep 10, 2007

Key facts

NPI
1245425602
Entity type
Individual (NPI type 1)
Primary specialty
Maternal Newborn Registered Nurse 163WM0102X
License
1086183 (KY)
Practice address
125 East Bailey Dr
White Plains, KY 42464
Phone
(270) 584-6040
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1086183KYMDMaternal Newborn Registered Nurse
200641825RNORMDMaternal Newborn Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 1086183 KY Yes
Maternal Newborn Registered Nurse 163WM0102X OR

Addresses

Primary practice location

125 East Bailey Dr
White Plains, KY 42464

Mailing address

125 East Bailey Dr
PO Box 187
White Plains, KY 42464
Phone (270) 584-6040

Other providers in White Plains, KY

All providers in White Plains, KY · Maternal Newborn Registered Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.