Healthcare Provider Details

I. General information

NPI: 1780689612
Provider Name (Legal Business Name): KIMBERLY LYNN FARLEY MSN APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 03/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 N CAROTHERS RD STE 608
FRANKLIN TN
37067-5822
US

IV. Provider business mailing address

670 COLEMAN HILL RD
ROCKVALE TN
37153-5421
US

V. Phone/Fax

Practice location:
  • Phone: 615-599-1966
  • Fax: 615-599-9536
Mailing address:
  • Phone: 615-904-2479
  • Fax: 615-599-9536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7107
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: