Nichols, Bobby Ray

Nichols, Bobby Ray is an individual health care provider with primary practice located at 1901 S Shady St , Mountain City TN 37683-2021. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Nichols, Bobby Ray can be contacted via phone (423) 727-1150.

Contact Information

Primary practice address
1901 S Shady St Mountain City TN 37683-2021
Phone: (423) 727-1150
Fax: (423) 727-1152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26999 Tennessee

Profile Details

NPI number 1205468923
LBN Legal business name Nichols, Bobby Ray
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Nov 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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