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Individual
DEJA RAYNE NELSON
Active
Individual
DEJA RAYNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10385524-3102
UT
363L00000X
Nurse Practitioner
Primary
10385524-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
08/02/2026
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