Provider Demographics
NPI:1891231445
Name:BARTON, NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:
Last Name:BARTON
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 1:12920 LEBANON RD
Mailing Address - Street 2:STE.1
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-2865
Mailing Address - Country:US
Mailing Address - Phone:615-758-7373
Mailing Address - Fax:
Practice Address - Street 1:12920 LEBANON RD
Practice Address - Street 2:STE.1
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-2865
Practice Address - Country:US
Practice Address - Phone:615-758-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2993111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor