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1093665531 NPI number — CHANTEL NICOLE NELSON PHARMD

NPI Number: 1093665531
Health Care Provider/Practitioner: CHANTEL NICOLE NELSON PHARMD

Information about “1093665531” NPI (CHANTEL NICOLE NELSON PHARMD) exists in 1093665531 in HTML format HTML  |  1093665531 in plain Text format TXT  |  1093665531 in PDF (Portable Document Format) PDF  |  1093665531 in an XML format XML  formats.

NPI Number : 1093665531 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093665531",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "CHANTEL",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TIMMERMAN",
    "OtherFirstName": "CHANTEL",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5326 OAK KNOLL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITESTOWN",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46075-0380",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2 MIRANOVA PL STE 500",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43215-7052",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-321-9743",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/03/2026",
    "LastUpdateDate": "02/03/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "26030562A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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