Nelson, Nickesha
Nelson, Nickesha is an individual health care provider with primary practice located at 2480 Pga Blvd , Palm Beach Gardens FL 33410-3507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nelson, Nickesha can be contacted via phone (561) 622-8700.Contact Information
Primary practice address
2480 Pga Blvd
Palm Beach Gardens FL 33410-3507
Phone: (561) 622-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9314126 | Florida |
Profile Details
| NPI number | 1043660806 |
|---|---|
| LBN Legal business name | Nelson, Nickesha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2016 |
| Last updated | Jun 13th, 2026 - about 4 months 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 | 1043660806 | NPPES |
| Other | 9310146 | ARNP |
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