Corey, Nicole Lynn

Corey, Nicole Lynn is an individual health care provider with primary practice located at 397 Wallace Rd Suite 407, Nashville TN 37211-4854. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Corey, Nicole Lynn can be contacted via phone (615) 942-1040.

Contact Information

Primary practice address
397 Wallace Rd Suite 407 Nashville TN 37211-4854
Phone: (615) 942-1040
Fax: (615) 942-1060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN162359 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13772 Tennessee

Profile Details

NPI number 1508017393
LBN Legal business name Corey, Nicole Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2008
Last updated Jan 7th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508017393 NPPES
Tennessee MEDICAID 1510685

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