Individual
MRS. NIKKI LYNN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
345 W BROAD ST, COOKEVILLE, TN 38501-2331
(931) 528-2300
(931) 528-2305
Mailing address
6 WIRT LANCASTER LN, HICKMAN, TN 38567-5054
(615) 683-6730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN7767
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3909960
MEDICARE
—
05
—
3909960
—
TN
Enumeration date
11/23/2005
Last updated
07/25/2010
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