Individual
NICOLE ANNE WYSOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 MEDICAL CENTER PKWY, MURFREESBORO, TN 37129-2245
(615) 396-4694
Mailing address
6410 FANNIN ST, SUITE 1014, HOUSTON, TX 77030-3000
(832) 325-7080
(713) 512-2239
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
61519
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2013
Last updated
09/01/2020
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