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NPI Code Detail

MEDICARE: BRENNAN WHEELER KIMBERLIN FNP-BC

MEDICARE: BRENNAN WHEELER KIMBERLIN FNP-BC
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 Practitioner31168TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427792340
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNAN WHEELER KIMBERLIN FNP-BC
Provider Business Mailing Address
First Line : 1400 S GERMANTOWN RD
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-2205
Country : US
Telephone Number : 901-759-5443
Fax Number : 901-435-5665
Provider Business Practice Location Address
First Line : 7887 WOLF RIVER BLVD
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-1718
Country : US
Telephone Number : 901-759-5443
Fax Number : 901-435-5665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 10/08/2024

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Directions to “ BRENNAN WHEELER KIMBERLIN FNP-BC” Practice Location

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