Individual
MRS. NICOLE RENEE DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(888) 226-4343
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15528
TN
363LP0200X
Pediatric Nurse Practitioner
R56275
NM
Other
Enumeration date
05/21/2007
Last updated
09/29/2019
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