MEDICARE: CAROLINE ADELLE CHELIUS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	289343	TN

General Provider Information

NPI Number	:	1942132451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE ADELLE CHELIUS RN

Provider Business Mailing Address
First Line	:	270 DOUGLAS BEND RD APT 7208
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-5615
Country	:	US
Telephone Number	:	615-418-3354
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 DOUGLAS BEND RD APT 7208
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-5615
Country	:	US
Telephone Number	:	615-418-3354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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