Provider Demographics
NPI:1508585399
Name:BILLINGSLEY, KINDALL (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KINDALL
Middle Name:
Last Name:BILLINGSLEY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8487 CROSS TIMBERS CIR
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-1617
Mailing Address - Country:US
Mailing Address - Phone:423-598-8755
Mailing Address - Fax:
Practice Address - Street 1:3405 RHEA COUNTY HWY
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-5817
Practice Address - Country:US
Practice Address - Phone:423-594-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32171363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner