Healthcare Provider Details

I. General information

NPI: 1821925108
Provider Name (Legal Business Name): NIKKI'S TATTOO STUDIO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 SARDIS RD N STE 208
CHARLOTTE NC
28227-6744
US

IV. Provider business mailing address

2520 SARDIS RD N STE 208
CHARLOTTE NC
28227-6744
US

V. Phone/Fax

Practice location:
  • Phone: 704-845-1533
  • Fax:
Mailing address:
  • Phone: 704-845-1533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH NICOLE THOMPSON
Title or Position: PRESIDENT
Credential:
Phone: 704-292-0214