Provider Demographics
NPI:1356769558
Name:CHRISTIAN, ISRAEL NEHEMIAH (CNA)
Entity type:Individual
Prefix:
First Name:ISRAEL
Middle Name:NEHEMIAH
Last Name:CHRISTIAN
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4848 SHASTA DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3906
Mailing Address - Country:US
Mailing Address - Phone:615-354-2724
Mailing Address - Fax:
Practice Address - Street 1:4848 SHASTA DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3906
Practice Address - Country:US
Practice Address - Phone:615-354-2724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00124952372600000X, 3747P1801X, 374U00000X, 376K00000X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide