Healthcare Provider Details

I. General information

NPI: 1760302566
Provider Name (Legal Business Name): KIMBERLY HART NEESE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 CAROTHERS PKWY
FRANKLIN TN
37067-5909
US

IV. Provider business mailing address

205 BALTUSROL RD
FRANKLIN TN
37069-7147
US

V. Phone/Fax

Practice location:
  • Phone: 615-435-5351
  • Fax:
Mailing address:
  • Phone: 615-573-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number143658
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: