Nielsen, Kimberly Annette

Nielsen, Kimberly Annette is an individual health care provider with primary practice located at 314 Rogosin Dr , Elizabethton TN 37643-2904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nielsen, Kimberly Annette can be contacted via phone (423) 433-6630.

Contact Information

Primary practice address
314 Rogosin Dr Elizabethton TN 37643-2904
Phone: (423) 433-6630
Fax: (423) 232-8574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN-7262 Tennessee

Profile Details

NPI number 1811918675
LBN Legal business name Nielsen, Kimberly Annette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811918675 NPPES
Tennessee MEDICAID 3348345

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