Healthcare Provider Details

I. General information

NPI: 1225575756
Provider Name (Legal Business Name): KIMBERLY DELANEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5625 HIGHWAY 60
BIRCHWOOD TN
37308-5155
US

IV. Provider business mailing address

921 E 3RD ST
CHATTANOOGA TN
37403-2102
US

V. Phone/Fax

Practice location:
  • Phone: 423-209-5540
  • Fax: 423-498-4578
Mailing address:
  • Phone: 423-209-8000
  • Fax: 423-209-8001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22161
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: