Provider Demographics
NPI:1407587538
Name:RAMIREZ, NIKI BLY (FNP)
Entity Type:Individual
Prefix:
First Name:NIKI
Middle Name:BLY
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 E COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2032
Mailing Address - Country:US
Mailing Address - Phone:615-560-7016
Mailing Address - Fax:615-560-7017
Practice Address - Street 1:718 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2032
Practice Address - Country:US
Practice Address - Phone:615-560-7016
Practice Address - Fax:615-560-7017
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021356363LF0000X
TN35562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily