Individual provider · Type 1 NPI
Nicklita Tamica Nelson
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1336572841
Active
Practice location
2052 Tillotson Ave
Bronx, NY 10475-1560
Mailing address
11841 199th St
St. Albans, NY 11412-3429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404548 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336572841
Nicklita Tamica Nelson's National Provider Identifier is 1336572841, issued on Aug 20, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bronx, NY. The record was last updated on Nov 9, 2022.