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Active NPI 1053288589 Individual Practitioner Female Practitioner

Jessica Ann Nelson , LPN4

Licensed Practical Nurse • Connell, WA

Professional Overview & Biography Verified Profile Summary

Jessica Nelson, LPN4 is a registered healthcare professional specializing in Licensed Practical Nurse in Connell, WA. Practice services are available at 1301 N EPHRATA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 N Ephrata Ave

Connell, WA 993269601

Telephone 5095435903
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Connell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Connell, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP61090847

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Dale Fetroe , MD

Family Medicine

NPI 1124025721

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2025

Registered at 1301 N EPHRATA AVE, CONNELL, WA 993269601 (Tel: 5095435903)

📍
Updated Business Mailing Address October 20, 2025

Registered at 111 S PALOUSE ST, RITZVILLE, WA 991691529 (Tel: 5099866519)

👤
Provider Name / Credentials Updated October 20, 2025

Recorded as JESSICA NELSON, LPN4

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2025

Licensed Practical Nurse (License #LP61090847 in WA)

🟢
Initial NPI Registration & Enumeration October 20, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053288589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2025
Last Update: October 20, 2025
Sole Proprietor: Yes

Mailing Address

111 S Palouse St

Ritzville, WA 991691529

Phone: 5099866519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.