Doctor Name: | KIMBERLY SANDERS |
NPI Number: | 1013373968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | APN0000020593 |
Business Practice Address: | 125 Cool Springs Blvd Suite 100 Franklin, TN - 370676474 |
Business Phone Number: | 6157718552 |
Business Fax Number: | |
Mailing Address: | 1107 Mahogany Trl, MURFREESBORO |
State: | TN |
Postal Code: | 371303178 |
Phone Number: | 6157260776 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2016 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000020593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |