Jeanell Nelson, | |
309 Main St, Red Boiling Springs, TN 37150-2149 | |
(615) 699-0040 | |
Not Available |
Full Name | Jeanell Nelson |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 309 Main St, Red Boiling Springs, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144609694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4853 (Tennessee) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518 |
Mailing Address | Practice Location Address |
---|---|
Jeanell Nelson, 2325 Nashville Pike Apt 1222, Gallatin, TN 37066-6031 Ph: (615) 587-9219 | Jeanell Nelson, 309 Main St, Red Boiling Springs, TN 37150-2149 Ph: (615) 699-0040 |
Ms. Regina S Cassetty, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Main St, Red Boiling Springs, TN 37150 Phone: 615-655-4202 | |
Tara Lechel Asberry, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Main St, Red Boiling Springs, TN 37150 Phone: 615-699-2238 | |
Mrs. Megan Ashley Brown, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Main St, Red Boiling Springs, TN 37150 Phone: 615-699-2238 |