Jill Marie Kirk, RN

Individual provider Active NPI Community Health Registered Nurse · Huntingdon, TN

NPI 1427230697 · NPPES record last updated Nov 29, 2007

Key facts

NPI
1427230697
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
156306 (TN)
Practice address
633 High St
Huntingdon, TN 38344-1703
Phone
(731) 986-1990
Fax
(731) 986-1995
NPI assigned
Nov 29, 2007
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
156306TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 156306 TN Yes

Addresses

Primary practice location

633 High St
Huntingdon, TN 38344-1703

Mailing address

633 High St
Huntingdon, TN 38344-1703
Phone (731) 986-1990

Other providers in Huntingdon, TN

All providers in Huntingdon, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.