Individual provider Active NPI

Jheneal Nelson, ARNP FNP-BC

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1851752026
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007271A Issued in IN
Practice address
801 Saint Marys Dr Ste 205W
Evansville, IN 47714-0556
Phone
(561) 847-6380
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007271A IN Primary
Family Nurse Practitioner 363LF0000X 9327565 FL

Addresses

Primary practice location

801 Saint Marys Dr Ste 205W
Evansville, IN 47714-0556

Mailing address

8374 B Lincoln Avenue
Evansville, IN 47715
Phone (561) 847-6380

Other practice location 1

1401 Village Blvd
926
West Palm Beach, FL 33409-2760
Phone (561) 847-6380

Other practice location 2

8374 Lincoln Ave
Evansville, IN 47715-3750
Phone (561) 847-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9327565FLMDFamily Nurse Practitioner
71007271AINMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851752026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 B LINCOLN AVENUE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47715",
            "telephone_number": "561-847-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR STE 205W",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140556",
            "telephone_number": "561-847-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Village Blvd",
            "address_2": "926",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334092760",
            "country_code": "US",
            "telephone_number": "561-847-6380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8374 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477153750",
            "country_code": "US",
            "telephone_number": "561-847-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JHENEAL",
        "name_prefix": "Ms.",
        "credential": "ARNP FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007271A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9327565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.