| Mr Danny Ray Nelson, NP-C | |
|
424 Wylou Dr Nw, Charleston, TN 37310-5179 | |
| (423) 715-7224 | |
| (423) 614-3033 |
| Full Name | Mr Danny Ray Nelson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 424 Wylou Dr Nw, Charleston, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184038762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 18752 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AP127160 (Texas) | Secondary |
| Entity Name | Dunlap Medical Center, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962591982 PECOS PAC ID: 0749236610 Enrollment ID: O20050323001066 |
| Entity Name | Fast Access Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063619997 PECOS PAC ID: 6406942101 Enrollment ID: O20071010000740 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Danny Ray Nelson, NP-C Po Box 2104, Cleveland, TN 37320-2104 Ph: (423) 715-7224 | Mr Danny Ray Nelson, NP-C 424 Wylou Dr Nw, Charleston, TN 37310-5179 Ph: (423) 715-7224 |
Michelle Lynn White, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9026 Hiwassee Street, Ne, Us-11, Charleston, TN 37310 Phone: 423-665-3666 | |
Mr. Keith L Kidd, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9026 Hiwassee St Ne, Charleston, TN 37310 Phone: 423-665-3666 Fax: 423-584-6747 |