Patsy Kimpson

Individual provider Active NPI Registered Nurse · Englewood, TN

NPI 1114503588 · NPPES record last updated Mar 24, 2021

Key facts

NPI
1114503588
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN208321 (TN)
Practice address
3360 Highway 411 N
Englewood, TN 37329-5276
Phone
(423) 887-5131
Fax
(423) 887-5917
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN208321TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN208321 TN Yes

Addresses

Primary practice location

3360 Highway 411 N
Englewood, TN 37329-5276

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Other providers in Englewood, TN

All providers in Englewood, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.