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Individual

MRS. KIMERLY A NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
401 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-4395
(931) 738-4330
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-4088
(615) 284-7501

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN0000005782
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3905395
TN
01
4137186
BC/BS TN - MCMINNVILLE
TN
01
4139731
BC/BS TN - CROSSVILLE
TN
Enumeration date
09/12/2005
Last updated
08/20/2019
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