Jaclyn Elaine Nelson, MS, CCC-SLP is a
Speech-language Pathologist based in Mulberry Grove, Illinois. Jaclyn Elaine Nelson is licensed to practice in Illinois (license number 146.014045) and her current practice location is
801 W Wall St, Mulberry Grove, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 326-8811.
NPI number for Jaclyn Elaine Nelson is 1023528981 and her current mailing address is 801 W Wall St, Mulberry Grove, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023528981.
Healthcare Provider's Profile
| Full Name | Jaclyn Elaine Nelson |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 801 W Wall St, Mulberry Grove, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023528981
- Provider Enumeration Date: 10/05/2017
- Last Update Date: 12/20/2021
Medical Identifiers
Medical identifiers for Jaclyn Elaine Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023528981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | 146.014045 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Elaine Nelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jaclyn Elaine Nelson, MS, CCC-SLP 801 W Wall St, Mulberry Grove, IL 62262-1049 Ph: (618) 326-8811 | Jaclyn Elaine Nelson, MS, CCC-SLP 801 W Wall St, Mulberry Grove, IL 62262-1049 Ph: (618) 326-8811 |
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