Basic Information
| Provider Information | |||||||||
| NPI: | 1952338758 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NELL | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1900 CHURCH ST | ||||||||
| Address2: | SUITE 511 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032234 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153294020 | ||||||||
| FaxNumber: | 6153299479 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 N HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371303837 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8005963455 | ||||||||
| FaxNumber: | 6153966963 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 26200 | TN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 3088232 | 05 | TN | MEDICAID | 3002447 | 01 | TN | BLUECROSS | OTHER | 64215692 | 01 | KY | KENTUCKY MEDICAID | OTHER | 3110232 | 01 | TN | STONES RIVER IPA | OTHER |