Jelise Nimmons
Jelise Nimmons is a Mental Health Counselor in Wantagh, New York. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
3375 Park Ave Ste 2005Wantagh, NY 11793-3712
Phone: (516) 350-8564
Fax: (516) 874-2477
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1962321125 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2026 |
| Last updated in NPPES | July 13, 2026 |
| Certification date | July 13, 2026 |
| Mailing address | 3375 Park Ave Ste 2005, Wantagh, NY 11793-3712 |
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