Individual
KASANDRA KAY WILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCRN
Contact information
Practice address
1 MEDICAL BLVD, COOKEVILLE, TN 38505-0001
(931) 783-5032
Mailing address
108 STANDING ROCK RD, DEER LODGE, TN 37726-3818
(931) 704-1607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
269330
TN
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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