Kimberly Paige Nelson, LPN
Individual provider Active NPI Licensed Practical Nurse · Jacksboro, TN
NPI 1477036234 · NPPES record last updated Sep 7, 2018
Key facts
- NPI
- 1477036234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN0000064207 (TN)
- Practice address
- 218 Indian Creek Rd
Jacksboro, TN 37757-3018 - Phone
- (423) 494-6300
- Fax
- (423) 377-1110
- NPI assigned
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN0000064207 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN0000064207 | TN | Yes |
Addresses
Primary practice location
218 Indian Creek Rd
Jacksboro, TN 37757-3018
Mailing address
218 Indian Creek Rd
Jacksboro, TN 37757-3018
Phone (423) 494-6300
Other names
- Kimberly Phillips Nelson
Other providers in Jacksboro, TN
- Gurpreet K Narula
- Harjeet Narula
- Tona A Neal
- Neighborhood Medical LLC
- Kathy Lynne Nelson
- Michael W Nichols
- Kelly Ann Norman
- Pamela Norman
- Katlyn Overton
- Shannon Paige Overton
All providers in Jacksboro, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.