Provider Demographics
NPI:1750621579
Name:DICKEY, TIMOTHY CLAYTON (FNP-C)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:CLAYTON
Last Name:DICKEY
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 GREAT CIRCLE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1317
Mailing Address - Country:US
Mailing Address - Phone:931-388-5114
Mailing Address - Fax:931-388-5631
Practice Address - Street 1:927 N JAMES CAMPBELL BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-2753
Practice Address - Country:US
Practice Address - Phone:931-388-5114
Practice Address - Fax:931-388-5631
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily