Nelson, Bernadette N.
Nelson, Bernadette N. is an individual health care provider with primary practice located at 1400 Pelham Parkway South Jacobi Medical Center, Bronx NY 10461. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nelson, Bernadette N. can be contacted via phone (718) 918-5000.Contact Information
Primary practice address
1400 Pelham Parkway South Jacobi Medical Center
Bronx NY 10461
Phone: (718) 918-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9209602 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F333417 | New York |
Profile Details
| NPI number | 1336114453 |
|---|---|
| LBN Legal business name | Nelson, Bernadette N. |
| Credentials | FNP-BC, PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Nov 19th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336114453 | NPPES |
| New York | MEDICAID | 306640100 | |
| New York | Other | Y064G | |
| New York | Other | Y064X | |
| New York | Other | Y064Y |
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