Individual
NICHOLE RENAE HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PLACE, ANTIOCH, TN 37011
(615) 463-6600
Mailing address
825 S DICKERSON RD APT 145, GOODLETTSVILLE, TN 37072-1737
(615) 668-9106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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