Provider Demographics
NPI:1578223657
Name:KIMBROUGH, SAVINA LOUISE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SAVINA
Middle Name:LOUISE
Last Name:KIMBROUGH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5526 WILLOUGHBY WAY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0696
Mailing Address - Country:US
Mailing Address - Phone:256-476-8507
Mailing Address - Fax:
Practice Address - Street 1:4200 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2789
Practice Address - Country:US
Practice Address - Phone:615-501-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30862363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily