Provider Demographics
NPI:1336684083
Name:JOSSELL, ANDREA MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MICHELLE
Last Name:JOSSELL
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 1:76 TABB DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:MUNFORD
Mailing Address - State:TN
Mailing Address - Zip Code:38058-8611
Mailing Address - Country:US
Mailing Address - Phone:901-840-2234
Mailing Address - Fax:901-840-2237
Practice Address - Street 1:76 TABB DR
Practice Address - Street 2:SUITE C
Practice Address - City:MUNFORD
Practice Address - State:TN
Practice Address - Zip Code:38058-8611
Practice Address - Country:US
Practice Address - Phone:901-840-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2957111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor