Cassondra Faye Nicholson

NPI #1952039315 in Clinton, Tennessee

Provider Information

NPI Number: 1952039315
Entity Type: Individual
Name: Cassondra Faye Nicholson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse's Aide
Enumeration Date: Aug 12, 2022
Last Updated: Aug 12, 2022

Practice Location

Address: 1107 N CHARLES G SEIVERS BLVD STE 101
City: Clinton
State: Tennessee
ZIP Code: 37716-3944
Phone: (865) 934-6150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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