JENESIS JADAYAH NELSON LPN
NPI 1548146186
Licensed Practical Nurse in Poplar Bluff, MO

Active since August 11, 2025
2107 PIKE ST, POPLAR BLUFF, MO 63901(573) 714-1516 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenesis Jadayah Nelson Lpn NPPES

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

JENESIS JADAYAH NELSON LPN (NPI 1548146186) is an individual licensed practical nurse in Poplar Bluff, Missouri, licensed in Texas (1123849) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1548146186
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJENESIS JADAYAH NELSONCredential: LPN
Location Address2107 PIKE STPoplar Bluff, MO 63901-7008
Mailing Address2107 Pike StPoplar Bluff, MO 63901-7008 · (573) 714-1516
Sole ProprietorYes
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
NPI 1548146186 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 TX · 1123849
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.
2107 PIKE ST, Poplar Bluff, MO 63901

Other Providers at the Same Location NPPES

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

Home Health
2107 PIKE ST
POPLAR BLUFF, MO 63901

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 Jenesis Nelson's NPI number?

The NPI number for Jenesis Nelson is 1548146186. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Jenesis Nelson located?

Jenesis Nelson practices at 2107 Pike St, Poplar Bluff, MO 63901. The listed phone number is (573) 714-1516.

What is Jenesis 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 Jenesis Nelson was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.