MEDICARE: NICKY NICOLE SLAUGHTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1871451104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICKY NICOLE SLAUGHTER

Provider Business Mailing Address
First Line	:	1717 HUDSON RD
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-5705
Country	:	US
Telephone Number	:	601-862-3608
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 HUDSON RD
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-5705
Country	:	US
Telephone Number	:	601-862-3608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ NICKY NICOLE SLAUGHTER ” Practice Location

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