Bobby Ray Nichols Iii is a Kingsport, Tennessee based nurse practitioner with 6 years of experience in . He completed his graduation from Lincoln Memorial University Medical Department in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bobby Ray Nichols Iii is 26999 in Tennessee. His current practice location is 2204 Pavilion Dr Ste 200, Kingsport. Patients can reach him at 423-224-3900 or can fax him at 423-224-3901. Bobby Ray Nichols Iii is FNP-C and his NPI number (Unique professional ID assigned by NPPES) is 1205468923. Bobby Ray Nichols Iii has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Bobby Ray Nichols Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Bobby Ray Nichols Iii
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
FNP-C
Experience:
6+ years
Medical School Attended:
Lincoln Memorial University Medical Department
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
2204 Pavilion Dr Ste 200, Kingsport, Tennessee, 37660-4652
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3274964994
Enrollment ID:
I20200513002875
NPI Number:
1205468923
NPI Enumeration Date:
11 Feb, 2020
NPI Last Update On:
26 Nov, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bobby Ray Nichols Iii are as mentioned below.
License Number
Specialization
State
Status
26999
Tennessee
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Bobby Ray Nichols Iii is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
East Tennessee State University (2769394774)
22
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Bobby Ray Nichols Iii 2204 Pavilion Dr Ste 200, Kingsport, Tennessee
Zip:
37660-4652
Phone Number:
423-224-3900
Patients can reach Bobby Ray Nichols Iii at 2204 Pavilion Dr Ste 200, Kingsport, Tennessee or can call to book an appointment on 423-224-3900.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.