Individual
MR. DANNY RAY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
424 WYLOU DR NW, CHARLESTON, TN 37310-5179
(423) 715-7224
(423) 614-3033
Mailing address
PO BOX 2104, CLEVELAND, TN 37320-2104
(423) 715-7224
(423) 614-3033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18752
TN
363LF0000X
Family Nurse Practitioner
AP127160
TX
Other
Enumeration date
06/11/2014
Last updated
09/27/2020
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