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NPI Code Detail

MEDICARE: KIMBERLY A ERVIN FNP

MEDICARE: KIMBERLY A ERVIN 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
1363LF0000XFamily Nurse Practitioner14754TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14259865OTHERTNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265756050
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A ERVIN FNP
Provider Business Mailing Address
First Line : 501 GREAT CIRCLE RD
Second Line : SUITE 200
City : NASHVILLE
State : TN
Zip : 37228-1317
Country : US
Telephone Number : 615-565-6383
Fax Number : 615-222-7237
Provider Business Practice Location Address
First Line : 5201 CHARLOTTE PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3320
Country : US
Telephone Number : 615-222-1900
Fax Number : 615-222-1917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2010
Last Update Date : 10/30/2017

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Directions to “ KIMBERLY A ERVIN FNP” Practice Location

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