Provider Demographics
NPI:1740465939
Name:ZYLA-HERRERA, NICOLE LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:LYNN
Last Name:ZYLA-HERRERA
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 1:3351 ASPEN GROVE DR STE 340
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2930
Mailing Address - Country:US
Mailing Address - Phone:615-807-2682
Mailing Address - Fax:615-807-2684
Practice Address - Street 1:3351 ASPEN GROVE DR STE 340
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2930
Practice Address - Country:US
Practice Address - Phone:615-807-2682
Practice Address - Fax:615-807-2684
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7883111N00000X
TN2491111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor