Individual
SHARON NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, RLC
Contact information
Practice address
9606 VERMILION RD, KNOXVILLE, TN 37922-5821
(865) 705-9577
Mailing address
9606 VERMILION RD, KNOXVILLE, TN 37922-5821
(865) 705-9577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000059920
TN
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
19210976
TN
Other
Enumeration date
02/20/2013
Last updated
09/25/2013
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