Individual
DR. KIMBERLY DAWN SWANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
5879 HIGHWAY 315, WATER VALLEY, MS 38965-3043
(662) 607-7077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
880120
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
32091
TN
363LA2100X
Acute Care Nurse Practitioner
905370
MS
Other
Enumeration date
03/03/2020
Last updated
10/26/2022
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