Individual
DR. JAMES D NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000015680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011360
PHP CARITEN
TN
05
—
3008582
—
TN
01
—
621654001
FEDERAL TAX ID
—
01
—
BCBS
37544
NE
01
—
TN0101
JOHN DEERE HEALTH
TN
Enumeration date
12/06/2006
Last updated
07/09/2007
Update your record
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