Individual
MRS. LEILA KEEL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
13090
TN
367A00000X
Advanced Practice Midwife
Primary
14288
TN
367A00000X
Advanced Practice Midwife
APN14288
TN
367A00000X
Advanced Practice Midwife
APRN90339MIDWIFE
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525515
—
TN
01
—
3380640
MEDICARE GROUP
TN
Enumeration date
09/10/2009
Last updated
05/16/2022
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