Individual provider · Type 1 NPI

Christopher L. Nelson, PA

Surgical Physician Assistant · Cookeville, TN

NPI number 1114911971 Active

Practice location

222 W 4th St Ste 201
Cookeville, TN 38501-2413

Fax (931) 372-0401

Mailing address

140 W 7th St
Cookeville, TN 38501-1726

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X085000452 (IL)
Physician Assistant 363A00000X2974 (TN)
Surgical Physician Assistant 363AS0400X085000452 (IL)
Surgical Physician Assistant Primary 363AS0400X2974 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1114911971

Christopher L. Nelson, PA's National Provider Identifier is 1114911971, issued on Sep 8, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cookeville, TN. The record was last updated on May 1, 2025.