Provider Demographics
NPI:1255477493
Name:SATTERFIELD, KIMBERLY DAWN (DNP,APN)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DAWN
Last Name:SATTERFIELD
Suffix:
Gender:F
Credentials:DNP,APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1639 W MORRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-2832
Mailing Address - Country:US
Mailing Address - Phone:423-586-0341
Mailing Address - Fax:423-318-9225
Practice Address - Street 1:1639 W MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-2832
Practice Address - Country:US
Practice Address - Phone:423-586-0341
Practice Address - Fax:423-318-9225
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN115953163W00000X
TN7640363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse