Individual
DR. JERRY CHARLES NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
140 S VIRGINIA ST, STEPHENVILLE, TX 76401-4343
(254) 965-6100
(254) 965-1904
Mailing address
PO BOX 1726, STEPHENVILLE, TX 76401-0017
(254) 965-6100
(254) 965-1904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088400901
—
TX
Enumeration date
02/05/2007
Last updated
07/08/2007
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