Individual
KIMBERLY SUZANNE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 GRASSY GLEN DR, GALLATIN, TN 37066-1726
(615) 326-5750
Mailing address
250 GRASSY GLEN DR, GALLATIN, TN 37066-1726
(615) 326-5650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235910
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
34963
TN
Other
Enumeration date
12/03/2021
Last updated
12/27/2023
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