KIMBERLY DAWN WAGNER

COOKEVILLE, TN
NPI1861266017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  34905)
Enumeration Date2023-11-08
Last Update Date2023-11-08
Business Address
KIMBERLY DAWN WAGNER FNP-BC
1087 HEATHWOOD WEST DR
COOKEVILLE, TN 38506-6633
Phone number: 193-126-5429
Mailing Address
KIMBERLY DAWN WAGNER FNP-BC
1087 HEATHWOOD WEST DR
COOKEVILLE, TN 38506-6633
Phone number: 193-126-5429
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