Provider Demographics
NPI:1720315880
Name:WOOD, NIKKI H (APN)
Entity Type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:H
Last Name:WOOD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
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Mailing Address - Street 1:740 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6448
Mailing Address - Country:US
Mailing Address - Phone:615-771-1881
Mailing Address - Fax:615-771-0050
Practice Address - Street 1:740 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6448
Practice Address - Country:US
Practice Address - Phone:615-771-1881
Practice Address - Fax:615-771-0050
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2015-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN8067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10350I4038Medicare PIN