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

Nelson Jong Kwowi

Individual provider Registered Nurse · NPI 1689203853

Nelson Jong Kwowi is a Nurse Practitioner in North las Vegas, Nevada. Qualified in 2020, 6 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5121 Blue Rose St
North las Vegas, NV 89081-2678
Phone: (469) 490-1505
Fax: (469) 490-1516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5904 Lantern Ln, Grand Prairie, TX 75052-8768 — (325) 320-0414

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1019811 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 888347 (TX)

Record details

NPI number1689203853
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in North las Vegas