Provider Demographics
NPI:1811243777
Name:NIX, NANCY M (PHARMD, BCPS, BCOP)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:M
Last Name:NIX
Suffix:
Gender:F
Credentials:PHARMD, BCPS, BCOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21824
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29925-1824
Mailing Address - Country:US
Mailing Address - Phone:912-713-3505
Mailing Address - Fax:
Practice Address - Street 1:2 PROFESSIONAL PARK DR STE 15
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6584
Practice Address - Country:US
Practice Address - Phone:912-713-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022759183500000X
FLPS48909183500000X
SC13683183500000X
NC22048183500000X
VA02022185131835X0200X
TN439061835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
No183500000XPharmacy Service ProvidersPharmacist