Provider Demographics
NPI:1598425662
Name:ROBERTS, DAR'NESHIA KEON (DC)
Entity Type:Individual
Prefix:DR
First Name:DAR'NESHIA
Middle Name:KEON
Last Name:ROBERTS
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 1:401 OLD PLEASANT GROVE RD APT 1436
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7328
Mailing Address - Country:US
Mailing Address - Phone:662-931-5123
Mailing Address - Fax:
Practice Address - Street 1:2700 GALLATIN PIKE STE D
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-3702
Practice Address - Country:US
Practice Address - Phone:615-679-9149
Practice Address - Fax:615-915-4036
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010625111N00000X
TN3594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor