Individual
KIMBERLY D PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5652 CLARKE CV, MEMPHIS, TN 38115-3502
(901) 729-9243
Mailing address
5652 CLARKE CV, MEMPHIS, TN 38115-3502
(901) 691-2773
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29794
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
879194
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
TN
Enumeration date
07/04/2021
Last updated
03/10/2026
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