Provider Demographics
NPI:1942450564
Name:NELSON, JEFFREY STARR (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:STARR
Last Name:NELSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7543 BALDWIN DAM RD
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-1501
Mailing Address - Country:US
Mailing Address - Phone:916-987-0765
Mailing Address - Fax:
Practice Address - Street 1:7543 BALDWIN DAM RD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-1501
Practice Address - Country:US
Practice Address - Phone:916-987-0765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA24841207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease