Provider Demographics
NPI:1982420014
Name:PIERCE, NICHOLAS MORRELL
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:MORRELL
Last Name:PIERCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
Mailing Address - Street 2:874 UNION AVE, RM 325
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-3780
Mailing Address - Country:US
Mailing Address - Phone:901-448-6218
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
Practice Address - Street 2:874 UNION AVE, RM 325
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-3780
Practice Address - Country:US
Practice Address - Phone:901-448-6218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program