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NPI Code Detail

MEDICARE: MS. KIMBERLY JEAN HARDENBURGH NP

MEDICARE: MS. KIMBERLY JEAN HARDENBURGH NP
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
1363L00000XNurse PractitionerAPN7008TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14017179OTHERTNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316075252
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY JEAN HARDENBURGH NP
Provider Business Mailing Address
First Line : 419 S 1ST ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-3625
Country : US
Telephone Number : 931-538-2471
Fax Number : 931-920-7206
Provider Business Practice Location Address
First Line : 511 8TH ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-3093
Country : US
Telephone Number : 931-920-7200
Fax Number : 931-920-7206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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