MEDICARE: KIMBERLY OLSEN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	25661	TN

General Provider Information

NPI Number	:	1861051914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY OLSEN FNP

Provider Business Mailing Address
First Line	:	1305 W MILLERS COVE RD
Second Line	:
City	:	WALLAND
State	:	TN
Zip	:	37886-2648
Country	:	US
Telephone Number	:	865-363-5961
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 DICK LONAS RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-1382
Country	:	US
Telephone Number	:	865-584-4747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	06/12/2019

Similar Medicare Providers

1952413197 — ERIC R PENNIMAN DO
Practice Location Address:

1275 DICK LONAS RD
KNOXVILLE, TN
37909-1382

Practice Phone: 865-584-4747
Practice Fax:

1063883056 — LAUREN ELIZABETH CHURCH ANP
Practice Location Address:

1275 DICK LONAS RD
KNOXVILLE, TN
37909-1382

Practice Phone: 865-584-4747
Practice Fax: 865-584-1363

1881040285 — STEPHANIE BELTON PA-C
Practice Location Address:

1275 DICK LONAS RD
KNOXVILLE, TN
37909-1382

Practice Phone: 865-584-4747
Practice Fax:

1043164205 — KAILYN RENEE GRIFFEY
Practice Location Address:

1275 DICK LONAS RD
KNOXVILLE, TN
37909-1382

Practice Phone: 865-588-0236
Practice Fax:

1962863621 — BRIA WALL BOUKOVALAS CRNA
Practice Location Address:

801 N WEISGARBER RD STE 500
KNOXVILLE, TN
37909-2708

Practice Phone: 865-588-1662
Practice Fax:

1699742858 — DR. ROBERT EUGENE IVY M.D,
Practice Location Address:

1422 OLD WEISGARBER RD
KNOXVILLE, TN
37909-1293

Practice Phone: 865-558-4400
Practice Fax: 865-558-4471

Directions to “ KIMBERLY OLSEN FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.