Provider Demographics
NPI:1023576808
Name:FARMER, NICOLA ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:NICOLA
Middle Name:ANN
Last Name:FARMER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5025 GOODEN LN
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5337
Mailing Address - Country:US
Mailing Address - Phone:423-385-5617
Mailing Address - Fax:
Practice Address - Street 1:111 WESTWOOD PL STE 100
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5057
Practice Address - Country:US
Practice Address - Phone:615-762-3350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN182195363LF0000X
TN26087363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily