Individual
KIMBERLY JO REDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
100 BAPTIST MEMORIAL CIR STE 202, OXFORD, MS 38655-4476
(662) 636-2451
(662) 636-2290
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
23629
TN
363LA2200X
Adult Health Nurse Practitioner
902335
MS
363LG0600X
Gerontology Nurse Practitioner
23629
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
902335
MS
Other
Enumeration date
01/01/2018
Last updated
10/08/2018
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