OrganizationActive
Jackie Nelson, PLLC
NPI 1033740865 · Adult Mental Health Clinic/Center · Boise, ID
Provider details
- NPI number
- 1033740865
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jacquelyn Nelson, Owner and Counselor
Mailing address
4621 W Kendall St
Boise, ID 83706-2222
Registry dates
- Enumerated
- 2020-01-30
- Last updated
- 2020-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.