Individual
KIMBERLY WORMER PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
68 EXETER RD, JACKSON, TN 38305-1829
(731) 422-0213
(731) 868-4871
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 423-2073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15404
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523473
—
TN
Enumeration date
04/20/2011
Last updated
11/21/2025
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