Healthcare Provider Details

I. General information

NPI: 1922077981
Provider Name (Legal Business Name): SUSAN P KNIGHT-NANNI D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 TRADERS WAY STE 1000
THOMPSONS STATION TN
37179-5493
US

IV. Provider business mailing address

4720 TRADERS WAY STE 1000
THOMPSONS STATION TN
37179-5493
US

V. Phone/Fax

Practice location:
  • Phone: 615-241-0233
  • Fax: 615-535-5946
Mailing address:
  • Phone: 615-241-0233
  • Fax: 615-535-5946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number009304
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2489
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: