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Individual
KIMBERLY A ERVIN
Active
Individual
KIMBERLY A ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14754
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520129
—
TN
01
—
4259865
BCBS
TN
Enumeration date
03/23/2010
Last updated
10/30/2017
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