Search › Arizona › 106S00000X
Jacob Nelson, BHT
NPI 1871256842 · on the registry since 2021 · sole proprietor
Practice
- Address
- 15214 N Cave Creek Rd Ste A
Phoenix, AZ 85032 - Phone
- (888) 973-2090
- Organisation at this address
- Guardian Angel Family Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 175T00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona