Provider Demographics
NPI:1922077981
Name:KNIGHT-NANNI, SUSAN P (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:P
Last Name:KNIGHT-NANNI
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 1:4720 TRADERS WAY STE 1000
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-5493
Mailing Address - Country:US
Mailing Address - Phone:615-241-0233
Mailing Address - Fax:615-535-5946
Practice Address - Street 1:4720 TRADERS WAY STE 1000
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-5493
Practice Address - Country:US
Practice Address - Phone:615-241-0233
Practice Address - Fax:615-535-5946
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009304111N00000X
TN2489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU74984Medicare UPIN
NYU74984Medicare UPIN