Individual
KIMBERLY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
809 REDBUD DR, GREENEVILLE, TN 37743-6141
(423) 470-6575
Mailing address
1405 ROCKY LN, JOHNSON CITY, TN 37601-5023
(423) 470-6575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0000021328
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
60883228
WA
Other
Enumeration date
08/04/2016
Last updated
11/04/2022
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