Individual
NIKKI FAYE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
2 RED BUSH CT, JOHNSON CITY, TN 37601-4340
(423) 547-5950
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
363LF0000X
Family Nurse Practitioner
182482
TN
363LG0600X
Gerontology Nurse Practitioner
182482
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20757
TN
Other
Enumeration date
02/11/2016
Last updated
02/20/2025
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