Dockery, Niki L

Dockery, Niki L is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 240 , Johnson City TN 37604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dockery, Niki L can be contacted via phone (423) 794-5520.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 240 Johnson City TN 37604
Phone: (423) 794-5520
Fax: (423) 282-6940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024171734 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 16709 Tennessee

Profile Details

NPI number 1770843583
LBN Legal business name Dockery, Niki L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated Mar 8th, 2021 - about 4 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 1770843583 NPPES
North Carolina MEDICAID 1770843583
North Carolina MEDICAID 7100211580
North Carolina MEDICAID 1530448
North Carolina MEDICAID 1770843583

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