Individual provider · Type 1 NPI

Selina Vickery, MD

Student in an Organized Health Care Education/Training Program · Nashville, TN

NPI number 1407645567 Active

Practice location

1161 21st Ave S
Nashville, TN 37232-0011

Call (615) 343-6642 Map

Fax (615) 322-0689

Mailing address

1161 21st Ave S Ste Ccc 4303
Nashville, TN 37232-2730

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407645567

Selina Vickery, MD's National Provider Identifier is 1407645567, issued on May 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nashville, TN. The record was last updated on May 5, 2025.