Individual
MR. CODY LEVI NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
1116 N 16TH ST, LAFAYETTE, IN 47904-2119
(765) 423-6300
(765) 423-6301
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28229694A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010196A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28229694A
STATE OF INDIANA NURSING BOARD
IN
01
—
71010195A
STATE OF INDIANA NURSING BOARD - APRN PRESCRIPTIVE AUTHORITY
IN
01
—
71010195B
STATE OF INDIANA NURSING BOARD - CSR PRESCRIPTIVE AUTHORITY
IN
Enumeration date
09/09/2019
Last updated
08/10/2023
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