Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Khadeja Nelson

Individual provider Licensed Practical Nurse · NPI 1437746864

Khadeja Nelson is a Licensed Practical Nurse in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

11642 171st St
Jamaica, NY 11434-1824
Phone: (917) 690-4457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 339931 (NY)

Record details

NPI number1437746864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 31, 2020
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

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