Jack Robert Nelson
Athletic Trainer · Canton, MO
NPI number
1083573950
Practice location
1 College HLCanton, MO 63435-1299
- Phone
- (573) 288-6000
NPI record
- NPI
- 1083573950
- Entity type
- Individual (Type 1)
- Enumeration date
- January 16, 2026
- Last updated
- January 16, 2026
- Certified
- January 16, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
Mailing address
501 Washington StCanton, MO 63435-1578
About Jack Nelson
Jack Robert Nelson is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1 College HL, Canton, MO 63435-1299. The NPI number 1083573950 was assigned on January 16, 2026 and the record was last updated on January 16, 2026.
Frequently asked questions
What is the NPI number of Jack Robert Nelson?
The NPI number is 1083573950.
What is the phone number of Jack Nelson?
The phone number listed for the practice location is (573) 288-6000.
Where is Jack Nelson located?
1 College HL, Canton, MO 63435-1299.
What is the taxonomy code for Jack Nelson?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Kali Powell, MED, ATC1 College HL
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- Jessica Dwyer1 College HL
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- Kirby Alana McClain1 College HL
- Vanessa S. Hernandez Castillo1 College Hill
- Christe Anne Thomas, ATC1 College HL # 133