Provider Demographics
NPI:1750429460
Name:BENNETTE-CARTER, NIKIA M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NIKIA
Middle Name:M
Last Name:BENNETTE-CARTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NIKIA
Other - Middle Name:
Other - Last Name:BENETTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1350 ROSA L PARKS BLVD
Mailing Address - Street 2:UNIT 201
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-2502
Mailing Address - Country:US
Mailing Address - Phone:615-300-1258
Mailing Address - Fax:
Practice Address - Street 1:1035 14TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3050
Practice Address - Country:US
Practice Address - Phone:615-329-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN123071835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy