MEDICARE: NELSON CHIROPRACTIC PLLC

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	111N00000X	Chiropractor	2154	TN

General Provider Information

NPI Number	:	1851587349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NELSON CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	524 N UNIVERSITY ST
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-3012
Country	:	US
Telephone Number	:	615-217-8624
Fax Number	:	615-217-7892

Provider Business Practice Location Address
First Line	:	524 N UNIVERSITY ST
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-3012
Country	:	US
Telephone Number	:	615-217-8624
Fax Number	:	615-217-7892

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN
Name	:	DR. NYOKA NICHELLE NELSON
Credential	:	DC
Telephone Number	:	615-217-8624

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	08/11/2011

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