Individual
NELSON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
404 GUSTAVIS AVE, KINGSPORT, TN 37664-5712
(423) 349-8171
Mailing address
404 GUSTAVIS AVE, KINGSPORT, TN 37664-5712
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0000166693
TN
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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