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NPI Code Detail

MEDICARE: KAYLAN NICHOLS FNP

MEDICARE:   KAYLAN  NICHOLS  FNP
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
1390200000XStudent in an Organized Health Care Education/Training ProgramTN

General Provider Information

NPI Number : 1609706860
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLAN NICHOLS FNP
Provider Business Mailing Address
First Line : 5150 AIRLINE RD
Second Line :
City : ARLINGTON
State : TN
Zip : 38002-8008
Country : US
Telephone Number : 901-226-5000
Fax Number :
Provider Business Practice Location Address
First Line : 5150 AIRLINE RD
Second Line :
City : ARLINGTON
State : TN
Zip : 38002-8008
Country : US
Telephone Number : 901-226-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ KAYLAN NICHOLS FNP” Practice Location

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