Individual
NICOLE LYNN COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
397 WALLACE RD, SUITE 407, NASHVILLE, TN 37211-4854
(615) 942-1040
(615) 942-1060
Mailing address
397 WALLACE RD, SUITE 407, NASHVILLE, TN 37211-4854
(615) 942-1040
(615) 942-1060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13772
TN
363LP0200X
Pediatric Nurse Practitioner
RN162359
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510685
—
TN
Enumeration date
10/10/2008
Last updated
01/07/2013
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