Neurology Center Pllc

NPI #1063897668 in Clarksville, Tennessee

Provider Information

NPI Number: 1063897668
Entity Type: Organization
Organization Name: Neurology Center Pllc
Primary Specialty: Psychiatry & Neurology - Neurology
Enumeration Date: Jul 23, 2015
Last Updated: Jul 23, 2015

Practice Location

Address: 1750 MEMORIAL DR
Address 2: SUITE C
City: Clarksville
State: Tennessee
ZIP Code: 37043-6356
Phone: (931) 905-4144

Authorized Official

Name: DR. JACQUELINE ROSE ANSELL, MD
Title: SOLE PROPRIETOR
Phone: (931) 905-4144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Electrodiagnostic Medicine	204R00000X
Psychiatry & Neurology - Sleep Medicine — Sleep Medicine	2084S0012X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X	Primary

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