Provider Demographics
NPI:1841084688
Name:TOOLEY, KIMBERLY LOVVORN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:LOVVORN
Last Name:TOOLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3442 NC HIGHWAY 194 S
Mailing Address - Street 2:
Mailing Address - City:TODD
Mailing Address - State:NC
Mailing Address - Zip Code:28684-9126
Mailing Address - Country:US
Mailing Address - Phone:512-971-5911
Mailing Address - Fax:
Practice Address - Street 1:310 HOSPITAL AVENUE
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640
Practice Address - Country:US
Practice Address - Phone:336-846-6322
Practice Address - Fax:336-846-1702
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5021924363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily