Provider Demographics
NPI:1982337507
Name:CRIPPS, NICOLE DEE (APN)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:DEE
Last Name:CRIPPS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NEW MIDDLETON HWY
Mailing Address - Street 2:
Mailing Address - City:GORDONSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38563-6603
Mailing Address - Country:US
Mailing Address - Phone:615-683-4207
Mailing Address - Fax:615-683-4207
Practice Address - Street 1:8 NEW MIDDLETON HWY
Practice Address - Street 2:
Practice Address - City:GORDONSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38563-6603
Practice Address - Country:US
Practice Address - Phone:615-683-4200
Practice Address - Fax:615-683-4207
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31944363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily