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JACKIE NELSON, PLLC
NPI 1033740865
Clinic/Center - Adult Mental Health in Boise, ID

Active since January 30, 2020
202 N 9TH ST STE 401C, BOISE, ID 83702(208) 639-9192 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Nelson, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE NELSON, PLLC (NPI 1033740865) is a healthcare organization registered as an adult mental health in Boise, Idaho and active in the NPI registry since January 2020. The organization lists Jacquelyn Nelson, Owner And Counselor, as its authorized official.

NPPES Registry Identity

NPI1033740865
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameJACKIE NELSON, PLLC
Location Address202 N 9TH ST STE 401CBoise, ID 83702-5770
Mailing Address4621 W Kendall StBoise, ID 83706-2222 · (480) 316-5462
Phone(208) 639-9192
Organization SubpartNo
Authorized OfficialJacquelyn NelsonOwner And Counselor · (480) 316-5462
Enumeration DateJanuary 30, 2020
✔ NPI 1033740865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
202 N 9TH ST STE 401C, Boise, ID 83702
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Nelson, PLLC's NPI number?

The NPI number for Jackie Nelson, PLLC is 1033740865. It was assigned to this organization in the NPPES registry on January 30, 2020.

Where is Jackie Nelson, PLLC located?

Jackie Nelson, PLLC is located at 202 N 9th St Ste 401C, Boise, ID 83702. The listed phone number is (208) 639-9192.

What is Jackie Nelson, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Jackie Nelson, PLLC was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.