Individual
NICOLE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1324 W MAIN ST, FRANKLIN, TN 37064-3784
(615) 794-1542
Mailing address
1400 AMBELSIDE CT APT 107, FRANKLIN, TN 37069-4226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239728
TN
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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