NEELY FRANK NELSON SFIDC
NPI 1174960140
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since May 30, 2013
504 COMPANY D STREET, CAMP LEJEUNE, NC 28542(910) 450-0786 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Neely Frank Nelson Sfidc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEELY FRANK NELSON SFIDC (NPI 1174960140) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1174960140
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameNEELY FRANK NELSONCredential: SFIDC
Location Address504 COMPANY D STREETCamp Lejeune, NC 28542-0042
Mailing AddressPsc Box 8023, Bldg. 4389Cherry Point, NC 28533-0023 · (252) 466-0396
Sole ProprietorYes
Enumeration DateMay 30, 2013
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 2, 2025
NPI 1174960140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

504 COMPANY D STREET, Camp Lejeune, NC 28542

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174960140, enumerated as an "individual" on May 30, 2013.

The provider is located at 504 COMPANY D STREET CAMP LEJEUNE, NC 28542 and the phone number is (910) 450-0786.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.