Individual
DEBRA A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7714 CONNER ROAD, STE 105, POWELL, TN 37849
(865) 947-6220
(865) 512-1069
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-8182
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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