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1083339444
MISTY RENEE NICHOLS
MARYVILLE, TN
NPI
1083339444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 32623)
Enumeration Date
2022-10-07
Last Update Date
2024-11-01
Business Address
MISTY RENEE NICHOLS FNP-BC
1111 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5130
Phone number: 865-724-0867
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Mailing Address
MISTY RENEE NICHOLS FNP-BC
1111 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5130
Phone number: 865-816-3270
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