| Doctor Name: | KATHRYN V BANKS |
| NPI Number: | 1003963166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | APN8284 |
| Business Practice Address: | 2290 N Washington Ave Brownsville, TN - 380121607 |
| Business Phone Number: | 7317725183 |
| Business Fax Number: | |
| Mailing Address: | 43 Timberlake Dr, JACKSON |
| State: | TN |
| Postal Code: | 383055003 |
| Phone Number: | 7314245289 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | APN8284 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |