Individual
KATHERINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1222 MEDICAL CENTER DR, COLUMBIA, TN 38401-6402
(931) 490-1500
Mailing address
1075 OAK GROVE RD, GOODSPRING, TN 38460-5362
(931) 309-4366
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
238184
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
33215
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022137775
ANCC
—
01
—
238184
TN BON RN
TN
01
—
33215
TN BON APRN
TN
Enumeration date
12/22/2022
Last updated
07/06/2023
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