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Individual

JUSTIN KINDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
42 DOOLEY STREET, CROSSVILLE, TN 38555
(931) 707-7117
Mailing address
181 MATHERLY ST, CROSSVILLE, TN 38555-1001
(931) 484-2727
(931) 484-1670

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143100
TN
363L00000X
Nurse Practitioner
16187
TN
363LF0000X
Family Nurse Practitioner
5020737
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020737
NC

Other

Enumeration date
04/30/2007
Last updated
01/20/2026
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