Provider Demographics
NPI:1124525894
Name:DELK, CHELSEA (APRN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:DELK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 NEAL ST STE 101
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0917
Mailing Address - Country:US
Mailing Address - Phone:931-528-8593
Mailing Address - Fax:931-528-8214
Practice Address - Street 1:1101 NEAL ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-0901
Practice Address - Country:US
Practice Address - Phone:931-528-8593
Practice Address - Fax:931-528-8214
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN23805363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily