Individual
KIMBERLY R FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1861 MAIN ST, SNEEDVILLE, TN 37869-3645
(423) 733-2131
(423) 733-1055
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 272-9163
(423) 921-6920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
104898
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000007174
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3902002
—
TN
Enumeration date
06/21/2005
Last updated
12/06/2010
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