Provider Demographics
NPI:1245301647
Name:NELSON, NYOKA NICHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:NYOKA
Middle Name:NICHELLE
Last Name:NELSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NYOKA
Other - Middle Name:NICHELLE
Other - Last Name:LYTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1461 BATTLEGROUND DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4425
Mailing Address - Country:US
Mailing Address - Phone:615-225-8305
Mailing Address - Fax:615-225-8263
Practice Address - Street 1:1461 BATTLEGROUND DR
Practice Address - Street 2:SUITE B
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4425
Practice Address - Country:US
Practice Address - Phone:615-225-8305
Practice Address - Fax:615-225-8263
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851587349Medicare PIN