DEJA RAYNE NELSON DNP, APRN, FNP-C - NPI 1053121194 - Nurse Practitioner in Salt Lake City, UT

Q: What is Deja Nelson's NPI number?

The NPI number for Deja Nelson is 1053121194. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Q: What is Deja Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Deja Nelson was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Deja Rayne Nelson Dnp, Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEJA RAYNE NELSON DNP, APRN, FNP-C (NPI 1053121194) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (10385524-4405) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1053121194

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDEJA RAYNE NELSONCredential: DNP, APRN, FNP-C

Location Address10 S 2000 ESalt Lake City, UT 84112-5880

Mailing Address10234 S Vilas DrSandy, UT 84092-4413 · (801) 389-1101

Phone(801) 389-1101

Sole ProprietorNo

Enumeration DateJanuary 10, 2025

Last NPPES UpdateAugust 2, 2026

NPPES CertifiedAugust 2, 2026

✔ NPI 1053121194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 10385524-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 10385524-3102 (UT)

10 S 2000 E, Salt Lake City, UT 84112

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEE NELSON RN, BSN

Student in an Organized Health Care Education/Training Program

10 S 2000 E
SLC, UT 84112

Salt Lake County (702) 948-0600

MS. SUSANNA ROSE COHEN RN, CNM, NP, MS, PHN

Advanced Practice Midwife