Individual
PATRICIA JANE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
620 GALLATIN PIKE S, MADISON,TN, MADISON, TN 37115-4013
(615) 460-4396
(625) 460-4301
Mailing address
620 GALLATIN PIKE S, MADISON,TN, MADISON, TN 37115-4013
(615) 460-4396
(625) 460-4301
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000033732
TN
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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