Provider Demographics
NPI:1033119706
Name:COX, NICOLE ANNETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ANNETTE
Last Name:COX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 BOB WHITE CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-1606
Mailing Address - Country:US
Mailing Address - Phone:615-419-4894
Mailing Address - Fax:
Practice Address - Street 1:3704 CLARKSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-2202
Practice Address - Country:US
Practice Address - Phone:615-244-1942
Practice Address - Fax:615-244-1952
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
TN1836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7727187OtherCIGNA HEALTHCARE
TN640175OtherUNITED HEALTHCARE
TN4031812OtherBLUECROSS BLUESHIELD OF T
TN640175OtherUNITED HEALTHCARE
TN4031812OtherBLUECROSS BLUESHIELD OF T