Individual
SANDY S NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 WINDEMERE WAY, NEW MARKET, TN 37820-5251
(865) 851-4525
Mailing address
2302 WINDEMERE WAY, NEW MARKET, TN 37820-5251
(865) 851-4525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000000025336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000025336
DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
TN
Enumeration date
10/28/2019
Last updated
10/28/2019
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