Sandifer, Nicole L

Sandifer, Nicole L is an individual health care provider with primary practice located at 609 Mcfarland St , Morristown TN 37814-3976. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sandifer, Nicole L can be contacted via phone (423) 714-0714.

Contact Information

Primary practice address
609 Mcfarland St Morristown TN 37814-3976
Phone: (423) 714-0714
Fax: (423) 587-3799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APN 12020 Tennessee

Profile Details

NPI number 1164465522
LBN Legal business name Sandifer, Nicole L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 7th, 2024 - about 10 months 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 1164465522 NPPES
Tennessee MEDICAID 3643310

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