IndividualActive
Irene Nelson, PA-C
NPI 1093050510 · Physician Assistant · Jackson, WY
Provider details
- NPI number
- 1093050510
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 158 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1490 Gregory Lane
Jackson, WY 83002
Phone: (307) 732-1694
Fax: (307) 732-1693
Approximate (ZIP-level) locationGet directions
Mailing address
Po B 11659
Jackson, WY 83002
Registry dates
- Enumerated
- 2012-12-10
- Last updated
- 2012-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.