Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey W Nelson, PNP

Individual provider Physician Assistant · NPI 1508885021

Jeffrey W Nelson, PNP is a Physician Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

525 Portland Ave So Mc 952
Minneapolis, MN 55415 Not confirmed with CMS for 13 years — call before visiting
Phone: (612) 348-9840
Fax: (612) 596-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9399 (MN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 91145 (MN)

Record details

NPI number1508885021
Entity typeIndividual (Type 1)
GenderMale
Credentials PNP
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESApril 17, 2013

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