Provider Demographics
NPI:1710612346
Name:ROWLAND, KIMBERLY RAMOS (MSN,FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:RAMOS
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:MSN,FNP-C
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:RAMOS
Other - Last Name:DINSMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 COLONY ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-4210
Mailing Address - Country:US
Mailing Address - Phone:423-956-0545
Mailing Address - Fax:
Practice Address - Street 1:107 COLONY ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37615-4210
Practice Address - Country:US
Practice Address - Phone:423-956-0545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF07220825363LF0000X
TN235335363LF0000X
TN32174363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily