KIMBERLY DAWN WAGNER

MEMPHIS, TN
NPI1861266017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  34905)
Enumeration Date2023-11-08
Last Update Date2024-06-03
Business Address
KIMBERLY DAWN WAGNER FNP-BC
6000 POPLAR AVE STE 250
MEMPHIS, TN 38119-3974
Phone number: 574-546-1900
Mailing Address
KIMBERLY DAWN WAGNER FNP-BC
1087 HEATHWOOD WEST DR
COOKEVILLE, TN 38506-6633
Phone number: 193-126-5429