Individual
NIKI L DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604
(423) 794-5520
(423) 282-6940
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024171734
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
16709
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530448
—
TN
05
—
1770843583
—
NC
05
—
1770843583
—
VA
05
—
7100211580
—
KY
Enumeration date
05/25/2012
Last updated
02/14/2025
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