Individual
KIMBERLI JANE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP B-C
Contact information
Practice address
8059 DAYTON BLVD, HIXSON, TN 37343
(785) 492-0575
Mailing address
8059 DAYTON BLVD, HIXSON, TN 37343
(785) 492-0575
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
251293
TN
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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