SearchTennessee122300000X

Eleisha Nickoles, D.D.S

NPI 1053400309 · on the registry since 2006

Practice

Address
1413 Russell Ave
Jefferson City, TN 37760
Phone
(865) 471-5525
Fax
(865) 471-5526
Organisation at this address
Rural Medical Services Inc
Jefferson City Senior Center
University Health System, Inc
Baptist Primary & Senior Healthcare Clinic Jefferson City
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee