Provider Demographics
NPI:1427023894
Name:NESTOR, NELL E (MD)
Entity Type:Individual
Prefix:DR
First Name:NELL
Middle Name:E
Last Name:NESTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 NEW SHACKLE ISLAND RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2481
Mailing Address - Country:US
Mailing Address - Phone:615-824-4244
Mailing Address - Fax:615-824-5916
Practice Address - Street 1:264 NEW SHACKLE ISLAND RD
Practice Address - Street 2:SUITE 107
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2481
Practice Address - Country:US
Practice Address - Phone:615-824-4244
Practice Address - Fax:615-824-5916
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN011603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3010033Medicaid
TN3010033Medicaid
TN103I081897Medicare PIN