Janet L Nelson, M.S.P., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Eudora, AR
NPI 1760699987 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1760699987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 418 (AR)
- Practice address
- 408 N Cherry St
Eudora, AR 71640-2209 - Phone
- (870) 355-8609
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 418 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 418 | AR | Yes |
Addresses
Primary practice location
408 N Cherry St
Eudora, AR 71640-2209
Mailing address
408 N Cherry St
Eudora, AR 71640-2209
Phone (870) 355-8609
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123938721 | Medicaid | AR |
Other providers in Eudora, AR
- Genesis Medical Center
- Ruby J. Lee
- Mainline Health Systems, Inc
- Mainline Health Systems, Inc
- Vunkisha Nash
- Perchel Labs
- Perchel Labs, LLC
- Peter Chu OD
- Kathryn Pippin
- Ashley Young Rutledge
All providers in Eudora, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.