National Provider Identifier

Persephone Nelson, PMHNP-BC

Persephone Nelson, PMHNP-BC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Clifton Springs, NY and a listed phone number of (315) 462-9466.

NPI 1063941268Clifton Springs, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1063941268
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
June 09, 2017
Last Updated
August 24, 2025

Practice Location

  • 28 E Main St
  • Clifton Springs, NY 14432-1231

Phone: (315) 462-9466

Mailing Address

  • 37 Aston Villa
  • North Chili, NY 14514-9817

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1063941268
Entity Type
Individual
Last Name
Nelson
First Name
Persephone
Credential
PMHNP-BC
Mailing Street Address
37 Aston Villa
Mailing City
North Chili
Mailing State
NY
Mailing ZIP Code
14514-9817
Mailing Country
US
Mailing Phone
(585) 802-7576
Practice Street Address
28 E Main St
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-1231
Practice Country
US
Practice Phone
(315) 462-9466
Enumeration Date
June 09, 2017
Last Updated
August 24, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
August 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)