Provider Demographics
NPI:1780689612
Name:FARLEY, KIMBERLY LYNN (MSN APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:LYNN
Last Name:FARLEY
Suffix:
Gender:F
Credentials:MSN APRN-BC
Other - Prefix:
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Mailing Address - Street 1:670 COLEMAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVALE
Mailing Address - State:TN
Mailing Address - Zip Code:37153-5421
Mailing Address - Country:US
Mailing Address - Phone:615-904-2479
Mailing Address - Fax:615-599-9536
Practice Address - Street 1:2023 N CAROTHERS RD
Practice Address - Street 2:STE 608
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5822
Practice Address - Country:US
Practice Address - Phone:615-599-1966
Practice Address - Fax:615-599-9536
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN7107363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily