Individual
NATHALY JULISSA KIMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7671
Mailing address
124 GRAYSON LN, WHITE HOUSE, TN 37188-3001
(615) 479-9518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000230496
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
37933
MI
Other
Enumeration date
09/30/2021
Last updated
06/09/2025
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