Individual provider · Type 1 NPI

Cody Levi Nelson, MSN, RN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Lafayette, IN

NPI number 1790334118 Active

Practice location

1116 N 16th St
Lafayette, IN 47904-2119

Fax (765) 423-6301

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X28229694A (IN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71010196A (IN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1790334118

Cody Levi Nelson, MSN, RN, PMHNP-BC's National Provider Identifier is 1790334118, issued on Sep 9, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, IN. The record was last updated on Aug 10, 2023.