Provider Demographics
NPI:1821592973
Name:HILL, KIMBERLY CASSIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:CASSIE
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:CASSIE
Other - Last Name:KUWIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 FOOTHILLS MALL DR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-5513
Mailing Address - Country:US
Mailing Address - Phone:865-982-3803
Mailing Address - Fax:
Practice Address - Street 1:103 FOOTHILLS MALL DR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-5513
Practice Address - Country:US
Practice Address - Phone:865-982-3803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000024124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily