Provider Demographics
NPI:1922325901
Name:KIMBEL, DARBRA WILLIS (NP-C)
Entity Type:Individual
Prefix:
First Name:DARBRA
Middle Name:WILLIS
Last Name:KIMBEL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 STONECREST BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5688
Mailing Address - Country:US
Mailing Address - Phone:615-223-9502
Mailing Address - Fax:615-223-9596
Practice Address - Street 1:2706 OLD FORT PKWY
Practice Address - Street 2:SUITE E
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4252
Practice Address - Country:US
Practice Address - Phone:615-893-1230
Practice Address - Fax:615-893-1232
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily