Individual
KIMBERLY WILSON HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-2535
(662) 538-2632
Mailing address
965 RIDGE LAKE BLVD, STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14312
TN
363LF0000X
Family Nurse Practitioner
Primary
667056
MS
Other
Enumeration date
09/01/2006
Last updated
06/22/2021
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