Individual
MRS. KELLY BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 LANTANA RD STE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(865) 374-2074
Mailing address
5801 CROSSINGS BLVD, ANTIOCH, TN 37013-3130
(615) 851-9401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18301
TN
363LF0000X
Family Nurse Practitioner
18301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q012706
—
TN
Enumeration date
02/13/2014
Last updated
11/02/2022
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