NPI | 1306385927 |
---|---|
Former Name | LINDSEY KELLEY NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000021789) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000176179) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2018-11-12 |