Individual
JOHN LOUIS NICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1651 HAMPSHIRE PL, THOMPSONS STATION, TN 37179-5496
(615) 999-0283
Mailing address
1651 HAMPSHIRE PL, THOMPSONS STATION, TN 37179-5496
(615) 999-0283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183517
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
08178723
NH
Other
Enumeration date
08/01/2019
Last updated
04/17/2020
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