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Individual

MRS. SHARON RENEE NICKELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
201 PARK BLVD, ROGERSVILLE, TN 37857-2919
(423) 272-7641
(423) 921-8073
Mailing address
505 MINER ST, ROGERSVILLE, TN 37857-2543
(423) 272-7884

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83846
TN

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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