Individual provider · Type 1 NPI

Kimberly C. Nichols, NP

Nurse Practitioner · Bristol, TN

NPI number 1619251626 Active

Practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Call (423) 844-5583 Map

Fax (423) 844-5588

Mailing address

999 Executive Park Blvd, Suite 201
Kingsport, TN 37660-4632

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024169691 (VA)
Nurse Practitioner 363L00000X16361 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619251626

Kimberly C. Nichols, NP's National Provider Identifier is 1619251626, issued on Oct 10, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bristol, TN. The record was last updated on Jan 10, 2013.