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

Nicholas Archer

Individual provider Acute Care Nurse Practitioner · NPI 1760934855

Nicholas Archer is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2016, 10 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2016

Practice location Address checks out

620 Skyline Dr Cvicu
Jackson, TN 38301-3923
Phone: (731) 541-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 21951 (TN)

Record details

NPI number1760934855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 25, 2016
Last updated in NPPESOctober 25, 2016
Mailing address620 Skyline Dr, Cvicu, Jackson, TN 38301-3923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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