=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013713841
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONNA KIM RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2025
-----------------------------------------------------
Last Update Date | 04/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2014 QUAIL HOLLOW CIR
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37067-5967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-628-5700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 107 HIDDEN VALLEY RD
-----------------------------------------------------
City | ARRINGTON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37014-4837
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-809-4700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
License Number | 0000253432
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 0000253432
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------