Individual
NICHOLAS BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 140C, HENDERSONVILLE, TN 37075-2366
(615) 826-5664
Mailing address
1529 TAMMANY DR, NASHVILLE, TN 37206-1407
(818) 641-8749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7287
TN
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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