Provider Demographics
NPI:1326803339
Name:FEATHERSTON, KIMBERLY (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:FEATHERSTON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 ROBERTA DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-5368
Mailing Address - Country:US
Mailing Address - Phone:256-431-6116
Mailing Address - Fax:
Practice Address - Street 1:207 MONKS WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2907
Practice Address - Country:US
Practice Address - Phone:931-381-1008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL-301627163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant