Jenesis Jadayah Nelson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

1123849 Issued in TX

Practice address

2107 Pike St
Poplar Bluff, MO 63901-7008

Phone

(573) 714-1516

NPI assigned

Aug 11, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Syncere Homecare LLC

  • Home Health Agency
  • Poplar Bluff, MO
  • NPI 1780552430
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1548146186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 PIKE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639017008",
            "telephone_number": "573-714-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PIKE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639017008",
            "telephone_number": "573-714-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENESIS",
        "middle_name": "JADAYAH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "1123849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Nation
• Larry A Nations, PT
• Jonathan William Nauser, PHD
• Abdul Naeem Naushad, M.D.
• Addonya Nelson
• Lowerstine Nelson, M.S., BCBA-LBA
• Nephrology Associates, PC
• Judith K Nettles, BA
• New Hope Assisted Living
• New Hope Medical Supply LLC

• Licensed Practical Nurse in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.