Individual
MRS. KIMBERLY DARLENE TERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8598 HIGHWAY 22, DRESDEN, TN 38225-2308
(731) 364-5675
Mailing address
406 N SPRING ST, MCMINNVILLE, TN 37110-2134
(931) 507-1212
(931) 507-1217
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
251593
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN0000075889
LICENSE
TN
Enumeration date
10/07/2011
Last updated
01/24/2023
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