Individual
NICOLE LOUISE LUCKSHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6849
Mailing address
2385 MARTIN COVINGTON RD, WHITE HOUSE, TN 37188-1200
(615) 513-6191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30195
TN
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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