# CHELSEA NICHON COLLECTION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972195824
- **Authorized official:** CHELSEA NICHON SMITH (OWNER)
- **Authorized official phone:** (904) 575-6208

## Contact information

- **Practice address:** 8005 FLEUR DE LIS DR, JACKSONVILLE, FL 32277-0904
- **Practice address phone:** (904) 575-6208
- **Mailing address:** 7632 SOUTHSIDE BLVD APT 144, JACKSONVILLE, FL 32256-7075
- **Mailing address phone:** (904) 575-6208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | Yes |
| 1744P3200X | Prosthetics Case Management | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 02/10/2021