Individual
MS. AMY TRISHAUNA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
13528 DENNIS ST, JAMAICA, NY 11434-4113
(347) 898-1537
Mailing address
13528 DENNIS ST, JAMAICA, NY 11434-4113
(347) 898-1537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
721419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JLJ006956977
—
NY
Enumeration date
09/01/2016
Last updated
09/01/2016
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