Search › Tennessee › 101YP2500X
Desiree Nicholas
NPI 1568984946 · on the registry since 2017
Practice
- Address
- 5310 Ball Camp Pike
Knoxville, TN 37921 - Phone
- (865) 539-2409
- Clinicians at this address
- 107
Additional practice sites
- 201 W Springdale Ave, Knoxville, TN
- 1704 E Broadway Ave, Maryville, TN
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-16
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