Individual
NICKEY JOE JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
300 S 8TH ST STE 100W, MURRAY, KY 42071-2446
(270) 762-1547
(270) 752-2854
Mailing address
300 S 8TH ST STE 480W, MURRAY, KY 42071-2403
(270) 762-1547
(270) 752-2854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3016469
KY
Other
Enumeration date
08/19/2021
Last updated
08/18/2023
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