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Contact Information

ASHLEY L NICKERSON, DO
228 W 4TH ST STE 200
COOKEVILLE, TN38501
 Phone: 931-372-0405
 Fax: 931-372-0463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ASHLEY L NICKERSON · (Female)

NPI # 1376785410
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/06/2009
Last updated 06/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 03844
  • MS License # 22139
  • TN License # 3559
Hospital affiliation(s)
  • COOKEVILLE REGIONAL MEDICAL CENTER - (Acute Care)
    1 MEDICAL CENTER BOULEVARD
    COOKEVILLE, TN 38501
  • ST THOMAS HOSPITAL - (Acute Care)
    4220 HARDING RD, PO BOX 380
    NASHVILLE, TN 37205
  • VANDERBILT UNIVERSITY HOSPITAL - (Acute Care)
    1161 21ST AVENUE SOUTH
    NASHVILLE, TN 37232
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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