# CHRISTOPHER ALLEN TICKLE

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

## Provider details

- **NPI number:** 1871891069
- **Gender:** Man
- **Credential:** ANP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 15703 | TN | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 15703 | TN | — |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 03/29/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1525841 | — | TN |