Individual
KIMBERLEY BROOKE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
434 E PIKE RD, FALKVILLE, AL 35622-5109
(256) 784-2200
(256) 784-2203
Mailing address
2941 POINT MALLARD PKWY SE STE N, DECATUR, AL 35603-5760
(256) 432-2822
(256) 432-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-135469
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2017
Last updated
04/28/2022
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