TYSON B NICKELS

KINGSPORT, TN
NPI1982384129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  34307)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: VA  0024187654)
363L00000X Nurse Practitioner
(Licence: TN  34307)
363LF0000X Nurse Practitioner Family
(Licence: VA  0024187654)
Enumeration Date2023-07-21
Last Update Date2024-10-09
Business Address
TYSON B NICKELS FNP
1905 AMERICAN WAY
KINGSPORT, TN 37660-5882
Phone number: 423-390-6335
Mailing Address
TYSON B NICKELS FNP
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565