Individual
MS. MEGAN H NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
933 W RACE ST, KINGSTON, TN 37763
(865) 882-0105
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2567
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q011714
—
TN
Enumeration date
06/14/2012
Last updated
03/28/2024
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