Most Relevant Information
Provider Data
| NPI Number: | 1003351149 |
| Provider Name: | JESSICA NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2016 |
| Last Updated: | 01/17/2018 |
Provider Practice Location
1620 CUMMINS DR
MODESTO
CA
953586400
Practice Location Phone/Fax
| Phone: | 2096221420 |
| Fax: |
Provider Mailing Location
4711 CROWS LANDING RD
MODESTO
CA
953589487
Provider Mailing Phone/Fax
| Phone: | 2098728078 |
| Fax: |