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BERNADETTE N. NELSON FNP-BC PMHNP NPI 1336114453


NPI Information

NPI: 1336114453
Provider Name: BERNADETTE N. NELSON, FNP-BC, PMHNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1400 PELHAM PARKWAY SOUTH
JACOBI MEDICAL CENTER
BRONX, NY
ZIP 10461
Phone: (718) 918-5000
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Bernadette N. Nelson, FNP-BC, PMHNP is a family nurse practitioner in Bronx, NY. Bernadette N. Nelson, FNP-BC, PMHNP NPI is 1336114453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 PELHAM PARKWAY SOUTH
JACOBI MEDICAL CENTER
BRONX, NY
ZIP 10461
Phone: (718) 918-5000

The enumeration date for this NPI number is 2/22/2006 and was last updated on 11/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerARNP9209602FLORIDANo
2363LF0000XNurse PractitionerFamilyF333417NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y064XOTHERNEW YORKMEDICARE ID UNSPECIFIED
2Y064GOTHERNEW YORKMEDICARE ID UNSPECIFIED
3Y064YOTHERNEW YORKMEDICARE ID UNSPECIFIED
4P6867JMEDICARE UPINNEW YORK
5306640100MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.