Provider Demographics
NPI:1447517594
Name:NELSON, JESSICA MARIE (MD)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:MARIE
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2427 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75233-2837
Mailing Address - Country:US
Mailing Address - Phone:214-693-4372
Mailing Address - Fax:
Practice Address - Street 1:3160 JUSTIN RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7049
Practice Address - Country:US
Practice Address - Phone:214-247-7728
Practice Address - Fax:469-863-8956
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP8957207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine