PERSEPHONE NELSON PMHNP-BC
NPI 1063941268
Nurse Practitioner - Psychiatric/Mental Health in Clifton Springs, NY

Active since June 09, 2017
28 E MAIN ST, CLIFTON SPRINGS, NY 14432(315) 462-9466 Get Directions Write a Review

NPPES record last updated: August 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Jul 21, 2022, Jun 9, 2017 (3 updates tracked since 2017).

About Persephone Nelson Pmhnp-bc NPPES

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

PERSEPHONE NELSON PMHNP-BC (NPI 1063941268) is an individual psychiatric/mental health provider in Clifton Springs, New York, licensed in New York (F406747-01) and active in the NPI registry since June 2017. She maintains a secondary practice location in North Chili.

NPPES Registry Identity

NPI1063941268
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePERSEPHONE NELSONCredential: PMHNP-BC
Location Address28 E MAIN STClifton Springs, NY 14432-1231
Mailing Address37 Aston VillaNorth Chili, NY 14514-9817 · (585) 802-7576
Sole ProprietorYes
Enumeration DateJune 9, 2017
Last NPPES UpdateAugust 24, 20253 updates tracked since enumeration
NPPES CertifiedAugust 24, 2025
NPI 1063941268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F406747-01
Also ListedRegistered NurseTaxonomy 163W00000X · License F406747-01 (NY)
28 E MAIN ST, Clifton Springs, NY 14432

Secondary Practice Location 1

Location 137 Aston VillaNorth Chili, NY 14514-9817 · Phone (585) 802-7576

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
28 E MAIN ST
CLIFTON SPRINGS, NY 14432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Persephone Nelson's NPI number?

The NPI number for Persephone Nelson is 1063941268. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Where is Persephone Nelson located?

Persephone Nelson practices at 28 E Main St, Clifton Springs, NY 14432. The listed phone number is (315) 462-9466.

What is Persephone Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Persephone Nelson was last updated on August 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.