National Provider Identifier
Jill Diane Nelson, PA-C
Jill Diane Nelson, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Olean, NY and a listed phone number of (716) 372-0141.
Profile Overview
- NPI
- 1790816015
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 08, 2007
- Last Updated
- February 16, 2026
Practice Location
- 535 Main St
- Olean, NY 14760-1500
Phone: (716) 372-0141
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1790816015
- Entity Type
- Individual
- Last Name
- Nelson
- First Name
- Jill
- Middle Name
- Diane
- Credential
- PA-C
- Provider Other Last Name
- Nelson
- Provider Other First Name
- Jill
- Provider Other Middle Name
- Diane
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 535 Main St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1500
- Mailing Country
- US
- Mailing Phone
- (716) 372-0141
- Practice Street Address
- 535 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1500
- Practice Country
- US
- Practice Phone
- (716) 372-0141
- Enumeration Date
- March 08, 2007
- Last Updated
- February 16, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 16, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 2550 (AZ, Az License)