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Individual

CODY WESTON RICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-C

Contact information

Practice address
1940 ALCOA HWY STE E310, KNOXVILLE, TN 37920-2267
(865) 544-2800
Mailing address
5200 COMMERCE CROSSINGS DR, FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3016757
KY
363LF0000X
Family Nurse Practitioner
Primary
40148
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3016757
KBN APRN
KY
Enumeration date
10/21/2021
Last updated
01/13/2026
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