@georgiagurl I concur with @wesleym. Starting treatment is a decision best weighed using all the diagnostic information and hearing about the merits of treatment as well as watchful waiting.
I find waiting for test results nearly intolerable so hugs. I’m so glad you are getting a second opinion as you really have not yet received a first from your actual physician.
Deferring to a nurse practitioner for such a weighty discussion may be simply convenience, but that would not sit well with me (even though my nurse practitioner has a MUCH better bedside manner than my Hem/onc doc. 😉).
Do advocate for yourself and get the information you require in order to make this weighty decision.
Will you let me know how this goes for you?

@georgiagurl I am going to weigh in here and agree with @wesleym and @pmm that an actual doctor visit with diagnostic results are in order.
I will however say that treatment, if I am reading those numbers correctly (I am not an MD) cannot wait forever.
I say this because of the recent event with high light chains and my husbands kidneys.
I would add that a call to the current doctors office to find out if this appointment is with the doctor might be helpful.
This in addition to a second opinion at the cancer center.
I know this is a crazy ride but try to stay in the fight until you get all the results you need. It is amazing how much better we felt once we knew all the particulars of my husbands myeloma, and the plan moving forward.
Do you have your appointment yet at the cancer center?