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KHADEJA NELSON
NPI 1437746864
Licensed Practical Nurse in Jamaica, NY

Active since December 31, 2020
11642 171ST ST, JAMAICA, NY 11434(917) 690-4457 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Khadeja Nelson NPPES

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

KHADEJA NELSON (NPI 1437746864) is an individual licensed practical nurse in Jamaica, New York, licensed in New York (339931) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1437746864
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKHADEJA NELSON
Location Address11642 171ST STJamaica, NY 11434-1824
Mailing Address11642 171st StJamaica, NY 11434-1824 · (917) 690-4457
Phone(917) 690-4457
Sole ProprietorYes
Enumeration DateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1437746864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 339931
Definition
A licensed practical nurse 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.
11642 171ST ST, Jamaica, NY 11434
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Other Providers at the Same Location NPPES

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

MARVA NELSON RN
Nurse Practitioner (Psychiatric/Mental Health)
11642 171ST ST
JAMAICA, NY 11434
Queens County (347) 954-8649

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 Khadeja Nelson's NPI number?

The NPI number for Khadeja Nelson is 1437746864. It was assigned to this individual provider in the NPPES registry on December 31, 2020.

Where is Khadeja Nelson located?

Khadeja Nelson practices at 11642 171st St, Jamaica, NY 11434. The listed phone number is (917) 690-4457.

What is Khadeja Nelson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Khadeja Nelson was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.