Individual
KEVIN NICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
206 CEDAR LN, KNOXVILLE, TN 37912-3507
(865) 666-3640
(865) 666-3641
Mailing address
5201 WESTERN AVE APT 515, KNOXVILLE, TN 37921-4195
(865) 232-8017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32232
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32232
TN DEPARTMENT OF HEALTH
TN
Enumeration date
10/04/2022
Last updated
10/04/2022
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