Individual
JOYE BANDY KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
142 HIGHLAND DR, LEBANON, VA 24266-4636
(276) 889-0433
(276) 415-9170
Mailing address
142 HIGHLAND DR, LEBANON, VA 24266-4636
(276) 889-0433
(276) 889-5537
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170129
VA
363LF0000X
Family Nurse Practitioner
APN0000016803
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I502390
MEDICARE
TN
05
—
1529935
—
TN
Enumeration date
09/05/2012
Last updated
07/10/2019
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