Individual
MR. CHRISTOPHER L. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
222 W 4TH ST STE 201, COOKEVILLE, TN 38501-2413
(931) 783-4269
(931) 372-0401
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
085000452
IL
363A00000X
Physician Assistant
2974
TN
363AS0400X
Surgical Physician Assistant
085000452
IL
363AS0400X
Surgical Physician Assistant
Primary
2974
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020561
—
TN
Enumeration date
09/08/2005
Last updated
05/01/2025
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