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

Mr. Jelani Charles Derrick, RN

Individual provider Registered Nurse · NPI 1942836846

Mr. Jelani Charles Derrick, RN is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

390 Gower St
Staten Island, NY 10314-5333
Phone: (718) 715-9087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 7446491 (NY)

Record details

NPI number1942836846
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 23, 2020
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020

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