Mary Nichole Tate is a student in an organized health care education training program in Humboldt, TN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mary Nichole Tate NPI is 1467000414. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4505 E MAIN ST
HUMBOLDT, TN
ZIP 38343-410
Phone: (731) 420-6443
The enumeration date for this NPI number is 9/3/2019 and was last updated on 9/3/2019.