# NICOLE ROVANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013675818
- **Gender:** F
- **Credential:** APRN, NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 30706 | TN | — |
| 363LN0000X | Neonatal Nurse Practitioner | 30706 | TN | Yes |

## Other

- **Enumeration date:** 11/30/2021
- **Last updated:** 03/16/2022