Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nichols Park Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1245503895

Nichols Park Emergency Physicians LLC is an Emergency Medicine Physician in Dyersburg, Tennessee. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 E Tickle St
Dyersburg, TN 38024-3120
Phone: (731) 285-2410
Fax: (800) 305-3233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1245503895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (404) 450-4684
NPI enumeratedFebruary 13, 2012
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address13737 Noel Road, Ste 1600, Dallas, TX 75240

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