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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE VIRGINIA TENNISON

Active Sole Proprietor

NICOLE VIRGINIA TENNISON is a Home Health healthcare provider located in LOTHIAN, Maryland. NPI 1215505367 is currently active in the NPPES registry. Verify at CMS.

Home Health · LOTHIAN, MD

Registration Details

NPI Number
1215505367
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2021 (5.1696693458924 yrs)
Last Updated
Jun 15, 2021
License
A00087423 (MD)
Sole Proprietor
Yes

Practice Information

Address
1140 MARLBORO RD
LOTHIAN, MD, 207119539
Browse MD providers · Browse ZIP 20711
Phone
4102715543
Primary Specialty
Home Health
251E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.