KIMBERLY DAWN WAGNER

CROSSVILLE, TN
NPI1861266017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  34905)
Enumeration Date2023-11-08
Last Update Date2025-01-08
Business Address
KIMBERLY DAWN WAGNER FNP-BC
100 LANTANA RD STE 202
CROSSVILLE, TN 38555-1903
Phone number: 931-484-5141
Mailing Address
KIMBERLY DAWN WAGNER FNP-BC
100 LANTANA RD STE 202
CROSSVILLE, TN 38555-1903
Phone number: 931-484-5141
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