Jessica Joan Nelson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH6077 Issued in ND

Practice address

4025 9TH Ave S Ste D
Fargo, ND 58103-2101

Phone

(701) 551-2446

NPI assigned

Jul 30, 2019

Sex

Female

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Dakota State University

  • Clinic Pharmacy
  • Fargo, ND
  • NPI 1972000768
  NPD
• W W Inc

  • Community/Retail Pharmacy
  • Fargo, ND
  • NPI 1447362454
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1366096190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 9TH AVE S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032101",
            "telephone_number": "701-551-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 9TH AVE S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032101",
            "telephone_number": "701-551-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JESSICA",
        "middle_name": "JOAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Michelle Nelson, OTR/L
• J Dennis Nelson, OD
• Jan Claire Nelson, OTR
• Jasmine Nelson, MS
• Jenna Mae Nelson, MOTR/L
• Josh Allen Nelson, LPN
• Judy Marie Nelson
• Justine Nelson, MSN, RN
• Kady A Nelson, RN
• Karl Nelson, PHD, HSPP

• Pharmacist in Fargo, ND
• Providers in Fargo, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.