# KIMBERLY BAILLIE WOODWARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164995486
- **Gender:** F
- **Credential:** MSN, APRN, CPNP-PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN0000084613 | TN | — |
| 363LP0200X | Pediatric Nurse Practitioner | APN0000023380 | TN | Yes |

## Other

- **Enumeration date:** 01/09/2019
- **Last updated:** 03/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14389115 | CAQH | TN |