Individual
NICHOLAS AARON GOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 393-3000
Mailing address
104 BRANDI WAY, WINCHESTER, TN 37398-1446
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000089693
TN
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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