Provider Demographics
NPI:1538990478
Name:HOWARD, NIKKI (APSS)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:APSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 OLD GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-8591
Mailing Address - Country:US
Mailing Address - Phone:606-367-1761
Mailing Address - Fax:
Practice Address - Street 1:155 FRANKLIN RD STE 430
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1602
Practice Address - Country:US
Practice Address - Phone:615-265-0359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1210465175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist