Individual
VICKY NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 21ST AVE S, NASHVILLE, TN 37240-1104
(615) 322-8876
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
274413
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
37784
TN
Other
Enumeration date
01/29/2024
Last updated
03/30/2026
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