Individual
CATHERINE PORTER NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
7503 VINTAGE POINTE WAY APT 812, POWELL, TN 37849-5634
(865) 806-2430
Mailing address
7503 VINTAGE POINTE WAY APT 812, POWELL, TN 37849-5634
(865) 806-2430
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
36985
TN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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