Individual
ANDREA LORA ACQUAVIVA-KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
220 DOCTOR M.L.K. JR PKWY, MORRISTOWN, TN 37813
(423) 587-1987
Mailing address
1436 CREST VIEW CIR, MORRISTOWN, TN 37814-1541
(423) 736-9541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28021
TN
Other
Enumeration date
09/22/2020
Last updated
08/02/2022
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